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[目的]通过对高危孕产妇的筛查进行监护管理,分析高危妊娠因素和构成情况。[方法]对南平延平区筛查上报的1 363例高危妊娠资料进行分析。[结果]流产史及高龄孕妇两项高危因素位居首位;过期妊娠发生率高对胎儿危害极大;妊娠期糖尿病(GDM)有升高的趋势;近年来妊娠合并乙肝逐年上升,对母婴危害极大;妊娠合并性传播疾病近年来也成上升趋势。[结论]南平市产科质量与5年前相比有很大提高,孕产妇死亡率、围产儿死亡率和新生儿死亡率均下降,加强对高危妊娠监护管理有重要意义。
[Objective] To monitor and manage the screening of high-risk pregnant women and analyze the factors and constitution of high-risk pregnancy. [Method] The data of 1 363 cases of high risk pregnancy reported by screening in Yanping District of Nanping were analyzed. [Results] The abortion history and advanced pregnant women ranked the first two risk factors. The high incidence of overdue pregnancy was extremely harmful to the fetus. Gestational diabetes mellitus (GDM) tended to increase. In recent years, hepatitis B in pregnancy increased year by year. It is extremely harmful. Sexually transmitted diseases complicated by pregnancy have also been on the rise in recent years. [Conclusion] The quality of obstetrics in Nanping is greatly improved compared with that of five years ago. The maternal mortality rate, perinatal mortality rate and neonatal mortality rate are both decreased. It is of great significance to strengthen the supervision and management of high-risk pregnancy.