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目的:通过对高危妊娠筛查监测结果总结分析,寻求降低高危妊娠发生率、达到母婴安全的有效方法,为制定政策和干预措施提供科学依据。方法:回顾性分析2004年10月1日~2012年9月30日产检的10 992例孕妇中筛查出4135例高危孕妇的情况,追踪干预措施的效果。结果:高危妊娠的发生率37.62%,出现较多的高危妊娠类型有贫血、人工流产≥2次、胎位不正等,贫血和胎位不正干预组矫治率高于未干预组(P<0.01);9年间孕产妇死亡率为18.00/10万。结论:充分发挥三级保健网络功能,产前对高危孕妇进行重点管理、及早干预、严密追踪、适时转诊,是提高孕产妇系统管理质量和降低孕产妇死亡率的有效途径。
OBJECTIVE: To find out the effective methods to reduce the incidence of high-risk pregnancies and achieve the safety of mother-infant through summarizing and analyzing the screening and monitoring results of high-risk pregnancies and provide a scientific basis for formulating policies and interventions. Methods: A retrospective analysis was conducted on 4135 high-risk pregnant women screened among 10 992 pregnant women who were examined during October 1, 2004 to September 30, 2012. The effect of the interventions was tracked. Results: The incidence of high-risk pregnancy was 37.62%. There were more types of high-risk pregnancy such as anemia, induced abortion≥2 times, abnormal fetal position and so on. The treatment rate of anemia and malposition was higher than that of non-intervention group (P <0.01). The annual maternal mortality rate was 18.00 / 100,000. Conclusion: Give full play to the three-level health network function, prenatal key management of high-risk pregnant women, early intervention, close follow-up, timely referral, is to improve the quality of maternal system management and reduce maternal mortality effective way.