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目的:分析高危妊娠的高危因素,降低高危妊娠发生率,提高孕产妇系统管理质量,有效保证母婴安全。方法:对辖区2004～2006年2221例高危妊娠的高危因素进行分析和探讨。结果:高危妊娠筛选率31.09%,高危因素前10位依次是:≥2次人工流产史、异常孕产史、妊娠合并内科疾病、胎位不正、年龄>35岁或<18岁、早产、双胎、妊娠高血压疾病、妊娠期糖尿病、妊娠晚期出血。结论:通过高危妊娠的一系列干预措施,及时筛选、追踪等规范管理,从而控制孕产妇及围产儿死亡率。
OBJECTIVE: To analyze the risk factors of high-risk pregnancy, reduce the incidence of high-risk pregnancy, improve the quality of maternal system management, and effectively ensure the safety of mother and infant. Methods: The risk factors of 2221 high risk pregnancies in the area from 2004 to 2006 were analyzed and discussed. Results: The screening rate of high-risk pregnancy was 31.09%. The top 10 risk factors were as follows: ≥2 abortion history, history of abnormal pregnancy, pregnancy complicated with medical diseases, malposition of fetus, age> 35 or <18 years old, , Hypertensive disorders of pregnancy, gestational diabetes mellitus, bleeding in the third trimester of pregnancy. Conclusion: Through a series of interventions for high-risk pregnancy, timely screening, tracking and other standardized management, so as to control maternal and perinatal mortality.