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目的了解长宁区危重孕产妇发生情况,总结危重孕产妇抢救的经验与教训,为加强危重孕产妇管理,进一步降低孕产妇死亡率提供依据。方法回顾性分析2012-2015年长宁区上报市妇幼中心的26例危重孕产妇抢救的临床资料。结果长宁区4年分娩产妇62 851例,发生26例危重孕产妇抢救,危重发生率为0.04%;其中非本市户籍危重孕产妇的早孕建册率、规范产检率明显低于本市户籍,危重孕产妇孕期风险评估异常达到57.69%;21例危重抢救发生在夜间和节假日,所占比例为80.77%,危重孕产妇的病因主要以产后出血为主。结论做好孕产期保健工作,加强重点孕妇管理,加强助产机构节假日及夜间人员配备,可减少危重孕产妇抢救的发生及提高抢救的成功率,减低其并发症和死亡率。
Objective To understand the situation of critical maternal in Changning District and to summarize the experience and lessons of critical maternal rescue in order to provide basis for strengthening the management of critical maternal and further reducing the maternal mortality. Methods The clinical data of 26 critical pregnant women who were reported to the Women and Children’s Center of Changning District from 2012 to 2015 were retrospectively analyzed. Results In Changning district, there were 62 851 cases of maternal delivery in 4 years and 26 cases of critical maternal rescue occurred, with a critical incidence of 0.04%. Among them, the rate of early pregnancy registration and the standardized rate of check-up were significantly lower than those of the city. Risk of critically ill pregnant women pregnancy assessment of anomalies reached 57.69%; 21 cases of critical rescue occurred at night and on holidays, the proportion was 80.77%, the main cause of critically ill pregnant women with postpartum hemorrhage. Conclusion Good maternal health care, strengthening the management of key pregnant women and strengthening holiday and nighttime staffing in midwifery institutions can reduce the incidence of critically ill maternal rescue and improve the success rate of rescue and reduce its complications and mortality.