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目的回顾性分析高危妊娠孕妇的临床资料,探讨降低高危妊娠孕产妇和胎儿病死率或者减少孕产妇和婴儿的产后不良反应的有效方法。方法本次采取回顾性分析,选取180例高危妊娠孕产妇作为研究对象。根据孕产妇的高危程度分为一般高危和严重高危二类,分别有88例(48.89%)和92例(51.11%)。分析高危妊娠的发生与产妇孕次的关系,相关的高危因素,高危孕妇的分娩方式和产时出血量等。结果 180例高危妊娠孕产妇中以孕次为1次的产妇占主要,有86例(47.78%),其次是孕2次的孕产妇,62例(34.44%)。主要的一般高危因素是胎膜早破(51例,28.33%)以及巨大胎儿(12例,6.67%)。严重高危因素中则是以(28例,15.56%)、胎位异常(23例,12.78%)和瘢痕子宫(15例,8.33%)为主导。高危妊娠孕产妇生产时出血量明显高于同期非高危妊娠孕产妇(P<0.05)。结论高危妊娠对于母婴的身体健康均会造成严重影响。加强对高危妊娠的检查与管理,提高孕妇及家属产检意识和医院产检水平能有效降低高危妊娠的发生率,改善产妇与婴儿的状况。
Objective To retrospectively analyze the clinical data of high-risk pregnant women and to explore effective methods to reduce the maternal and fetal mortality in high-risk pregnancies or to reduce postpartum adverse reactions in pregnant women and infants. Methods This retrospective analysis, selected 180 cases of pregnant women at high risk as the research object. According to the high risk of maternal, it is divided into general high risk and serious high risk categories, 88 cases (48.89%) and 92 cases (51.11%) respectively. Analysis of the relationship between the incidence of high-risk pregnancies and the second trimester, the associated risk factors, the mode of delivery of high-risk pregnant women and the amount of bleeding during delivery. Results Among the 180 pregnant women with high-risk pregnancies, the number of pregnancies was 1, with 86 (47.78%) pregnant women, followed by 2 pregnant women and 62 (34.44%) pregnant women. The main general risk factors are premature rupture of membranes (51 cases, 28.33%) and huge fetuses (12 cases, 6.67%). Serious risk factors were (28 cases, 15.56%), abnormal fetal position (23 cases, 12.78%) and scar uterus (15 cases, 8.33%). High-risk pregnancies The production of bleeding during pregnancy was significantly higher than that of non-high-risk pregnant women during the same period (P <0.05). Conclusions High-risk pregnancies have a serious impact on the health of mothers and infants. Strengthen the inspection and management of high-risk pregnancies to improve the awareness of pregnant women and their families and the level of childbirth can effectively reduce the incidence of high-risk pregnancies and improve maternal and infant conditions.