端州区高危妊娠孕妇筛查、监测和管理的临床研究

目的:应用信息管理网络系统对肇庆市端州区高危妊娠孕妇进行筛查、监测和管理;对降低孕产妇死亡率、围产儿死亡率和病残儿出生率有重要的意义。方法:将2007年3月~2008年9月在端州区产检的孕妇设为原发组,2009年3月应用信息管理网络系统对端州区高危妊娠孕妇进行筛查、监测和管理;将2009年3月~2010年9月在端州区产检的孕妇设为对照组,对原发组和对照组的资料进行回顾性分析。结果:对照组高危孕产妇筛出率、高危孕产妇随诊率、高危孕产妇住院分娩率高于原发组,剖宫产率和病残儿出生率低于原发组,孕产妇死亡率和围产儿死亡率明显低于原发组。结论:应用信息管理网络系统对端州区高危妊娠孕妇进行筛查、监测和管理,显著提高了高危妊娠孕妇的检出率、随诊率、住院分娩率,有效减少了高危妊娠分娩并发症,降低了剖宫产率、孕产妇死亡率、围产儿死亡率和病残儿出生率。

Clinical study on screening, monitoring and management of high risk pregnant women in Duanzhou district

Objective:To screen,monitor and manage high risk pregnant women in Duanzhou district of Zhaoqing city by information management network system,reduce maternal mortality,perinatal mortality and birth rate of disabled children.Methods:The pregnant women receiving prenatal examination in Duanzhou district of Zhangqing city from March 2007 to September 2008 were selected as primary group,information management network system was used to screen,monitor and manage high risk pregnant women in Duanzhou district of Zhaoqing city in March 2009;the pregnant women receiving prenatal examination in Duanzhou district from March 2009 to September 2010 were selected as control group,the data in primary group and control group were analyzed retrospectively.Results:The prevalence rate,follow-up rate and hospital delivery rate of high risk pregnant women in control group were higher than those in primary group,the rate of cesarean section,birth rate of disabled children,maternal mortality and perinatal mortality in control group were lower than those in primary group.Conclusion:Screening,monitoring and management of high risk pregnant women in Duanzhou district of Zhangqing city by information management network system can increase the prevalence rate,follow-up rate and hospital delivery rate of high risk pregnant women significantly,reduce the delivery complications of high risk pregnancy,the rate of cesarean section,birth rate of disabled children,maternal mortality and perinatal mortality effectively.