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目的加强高危孕妇管理,降低孕产妇和围产儿死亡率。方法按照高危孕产妇评分标准,调查2011年萍乡市妇幼保健院产前检查的孕妇,筛查高危妊娠,统一造册,定期检查随访管理。结果筛查出的高危妊娠1183人,发生率为25.5%,排在前四位的高危因素是:疤痕子宫,年龄≥35岁;人流≥2次;妊娠合并内科疾病。高危妊娠者选择剖宫产终止妊娠比较高,经严密跟踪随访管理,高危妊娠产妇并发症不高。结论加强高危妊娠管理,有效保证母婴健康,努力提高自然分娩率,降低孕产妇和围产儿死亡率。
Objective To strengthen the management of high-risk pregnant women and reduce maternal and perinatal mortality. Methods According to the high risk maternal grading standards, we investigated the pregnant women of prenatal care in Pingxiang MCH in 2011, screened the pregnant women at risk, unified the books, and regularly checked the follow-up management. Results A total of 1183 high-risk pregnancies were detected, with a prevalence of 25.5%. The top four risk factors were: scarring of uterus, age ≥35 years, abortion ≥2 and pregnancy complicated with medical diseases. High-risk pregnancies choose caesarean section termination of pregnancy is relatively high, followed up closely tracking management, high-risk pregnancy maternal complications are not high. Conclusions Strengthen the management of high-risk pregnancy, effectively ensure the maternal and infant health, strive to improve the rate of natural childbirth and reduce the maternal and perinatal mortality rates.