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目的分析海口市2012~2014年孕产妇妊娠合并症与并发症的发生原因及变化规律,探讨其主要影响因素,为降低孕产妇死亡提供科学依据。方法采用回顾性方法对2012~2014年在海口市3所监测医院产科入院的孕产妇资料进行分析。结果海口市2012~2014年共监测的孕产妇32 063例,妊娠合并症与并发症的发生率34.31%,危重孕产妇发生率0.22%,危重孕产妇病死率1.39%。<20岁及≥35岁年龄组的妊娠合并症与并发症的发病率明显高于其它年龄组,随着妊娠次数的增多其发病率增高,随着孕期产检次数的增多其发病率降低,阴道分娩的发病率明显低于剖宫产,差别均有统计学意义(P<0.05)。结论加大健康教育,提高孕产妇自我保健意识,提高服务质量,多学科合作和提高危重孕产妇的综合救治能力是降低孕产妇死亡的关键环节。
Objective To analyze the causes and changes of pregnancy complications and complications in 2012-2014 in Haikou, discuss the main influencing factors and provide a scientific basis for reducing maternal mortality. Methods The retrospective method was used to analyze the maternal data of obstetrics and gynecology hospitalization in 3 monitored hospitals in Haikou from 2012 to 2014. Results A total of 32 063 pregnant women were monitored in Haikou from 2012 to 2014. The incidence of complications and complications in pregnancy was 34.31%, the incidence of critical pregnant women was 0.22%, and the critical fatality rate of pregnant women was 1.39%. The incidences of complications and complications of pregnancy in <20 years and ≥35 years old group were significantly higher than those in other age groups. The incidence of pregnancy complications was increased with the increase of the number of pregnancy. With the increase of the number of pregnancy tests, The incidence of childbirth was significantly lower than cesarean section, the difference was statistically significant (P <0.05). Conclusion Increasing health education, improving maternal self-care awareness, improving service quality, multidisciplinary cooperation and improving the comprehensive treatment ability of critically ill pregnant women are the key links to reduce maternal mortality.