高危孕妇3838例分析

本文分析了海安县1990～1991年21 458例孕妇中发生的3 838例高危孕妇的高危因素及其分类。结果显示,高危孕妇的发生率占孕妇总数的17.89%,管理率为98.6%。孕早期高危因素以异常产史为主,占孕早期高危因素的72.34%;孕中期高危因素以异常产史和本次妊娠异常为主,占76.71%;孕晚期高危因素以本次妊娠异常为主,占81.06%。提示高危孕妇管理只要根据孕期的不同,结合前10位主要高危因素,采取强化分级管理的办法,就能达到降低孕产妇和围产儿死亡率的目的。

Quality analysis for management of 3 838 high—risk pregnant women

This paper deals with the highly dangerous factors of 3838 high-risk pregnant women outof 2 1458 pregnant women in Haian county form 1990 to 1991.The results show that the inci-dence rate of high-risk pregnant women is 17.89% and management rate is 98.6%.The high-ty dangerous factors account for 72.34% because of abnormal lying-in history during the earlygestational period and 76.7%,because of abnormal lying-inhistory and this abnormal pregnan-cy during the inter mediate gestational period and 81.06% because of this abnormal pregnancyduring the later gestational period.It suggests that high-risk pregnant woman managementshowld be managed at each different level in order to lower the death rate of pregnantand parturi-ent women and perinatal according to the gestational period and the first ten highly dangeriousfactors.