本文叙述了系统管理方法和监护内容,提出高危妊娠的系统管理和监护是搞好围产期保健的关键,高危评分可判断高危妊娠的程度,是一个简单而易行的方法。产程图是及时发现产程中的问题和减少难产的有力措施。围产期的系统管理和监护可以降低母婴的并发率和围产期死亡率。 This article describes the system management methods and monitoring content. It is proposed that the systematic management and monitoring of high-risk pregnancy is the key to improving perinatal health care. The high-risk score can judge the degree of high-risk pregnancy, which is a simple and easy way. Birth chart is to promptly find the problems in the labor process and reduce the difficult measures of dystocia. Perinatal system management and custody can reduce maternal and infant concomitant rates and perinatal mortality.