高危妊娠983例监测分析

目的加强高危管理,保证母婴安全。方法对所有初检孕妇建册同时筛查高危因素,对高危孕妇建立高危追踪表进行追踪管理,并将其一般情况、高危因素、分娩方式、产后出血、新生儿情况输入电脑,进行统计分析。结果2001年1月1日~2003年12月31日共建册4141例,983例有高危因素的孕妇追踪至分娩,3年无1例因管理失误而出现妊娠重度并发症或死亡,死胎死产率、新生儿畸形及产后出血率均低于同期住院产妇。结论加强高危管理对降低围产儿死亡率和产科并发症有积极作用。

Analysis of 938 High Risk Pregnancies

Objective To strengthen the high-risk pregnacy management and to make mother and infant safe.Methods We registrated all the pregnant women at their first antenatal examinations,screened high-risk factors,and set up charts to trace and manage the high-risk population.We collected the datas of their general information,high-risk factors,delivery methods,postpartum hemorrhage and infant status to do the statistic analysis.Results We had registrated 4141 pregnacies from Jan 1st,2000 to Dec 31st,2003.983 high-risk pregnancies were traced till their deliveries.None of them had the severe pregnancy complications or died because of the malmanagement.The rates of fetal death,still birth,newborn abnormality and postpartum hemorrhage are lower than that of the control.Conclusion To Strengthen the management of the high-risk population has positive effcts on decreasing the neonatal mortality and obstetric complications.