660例高危妊娠孕产妇住院分娩情况分析

目的 分析高危孕产妇的高危因素及分娩情况.方法 回顾性分析2004年1～12月住院分娩1980例孕产妇,其中高危妊娠孕产妇660例,发生率为33.3%.结果 高危孕产妇剖宫产505例,剖宫产率占住院分娩总数的25.5%,占高危妊娠产妇的76.5%;产后出血23例,占高危孕产妇的3.74%;子宫切除4例,占高危孕产妇的6‰;围产儿死亡15例,占高危孕产妇的24.8‰,占总住院分娩总数的7.6‰.结论 加强高危妊娠管理,严格三级转诊制度,最低限度地减少高危妊娠的发生,改善妊娠结局,降低孕产妇和围产儿的死亡率.

Delivery Analysis of 660 Cases of Maternal High-risk Pregnancy

Objective to analyze of high-risk maternal risk factors and delivery situation. Methods 1980 cases in January 2004 to December 2004 delivery at hospital of maternal were retrospectivly analyzed,maternal high-risk pregnancy 660 cases,the occurrence rate was 33.3%. Results The high-risk pregnant women 505 cases of cesarean section,cesarean section rate of the total number of hospital deliveries accounted for 25.5 percent, accounting for high-risk pregnancy maternal 76.5%. 23 eases of postpartum hemorrhage, accounting for the high-risk pregnant women of 3.74%. 4 eases of hysterectomy,accounting for the high-risk pregnant women of 6‰. 15 cases of perinatal death,accounting for the high-risk pregnant women of 24.8‰ ,the total number of hospital deliveries 7.6%～. Conclusion The need to strengthen high-risk pregnancy management,and strict three-tier referral system,at least to reduce the occurrence of high-risk pregnancy to improve pregnancy outcome,reducing maternal and perinatal mortality.