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目的探讨乌鲁木齐市高危妊娠主要类型和发生特点,为进一步有针对性的做好高危妊娠管理提供科学依据。方法收集2015年乌鲁木齐市3家主要的产前保健机构上报的《危重孕产妇报告卡》,结合妇幼卫生日常工作台账和《母子保健手册》,相互补充与核对,分别统计孕妇年龄、建卡时间、孕产史、产前检查、住院分娩、产后访视、疾病类型等信息,对其孕产期保健服务进行回顾性分析。结果 14 057例高危孕妇中,高龄孕妇6 067例,占43.16%,主要的高危因素依次为高龄6 067例,占41.82%,2次人流史4 672例,占32.21%、超重和肥胖1 968例,占13.57%,妊娠期糖尿病942例,占6.49%,甲状腺功能减退857例,占5.91%。结论加强各级各类助产机构对高危妊娠的筛查与管理,探索新的高危妊娠筛查模式,加强健康教育和流动人口的高危妊娠管理将是有效降低乌鲁木齐市高危妊娠的重点环节,也是降低孕产妇和围生儿死亡的重要措施。
Objective To explore the main types and occurrence characteristics of high-risk pregnancy in Urumqi and provide scientific basis for further targeted management of high-risk pregnancy. Methods The “Report on Critical Maternal Pregnancy Report” submitted by three major prenatal health institutions in Urumqi in 2015 was collected and used to supplement and check maternal and child health by combining the maternity and child health daily work account with the “Maternal and Child Health Handbook” Time, history of pregnancy and childbirth, prenatal care, hospital delivery, postnatal visits, types of diseases and so on. The maternal health care services were retrospectively analyzed. Results A total of 14 057 high-risk pregnant women, 6 067 pregnant women, accounting for 43.16%, the main risk factors were seniority 6 067 cases, accounting for 41.82%, 2 abortion history 4 672 cases, accounting for 32.21%, overweight and obesity 1 968 Cases, accounting for 13.57%, 942 cases of gestational diabetes, accounting for 6.49%, 857 cases of hypothyroidism, accounting for 5.91%. Conclusion To strengthen screening and management of high-risk pregnancies in all kinds of midwifery at all levels, explore new screening models for high-risk pregnancies, strengthen health education and management of high-risk pregnancies in migrants will be the key link in effectively reducing high-risk pregnancies in Urumqi and also Important measures to reduce maternal and perinatal deaths.