高危妊娠的筛查管理与妊娠结局分析

发布时间：2018-01-12 07:23

本文关键词：高危妊娠的筛查管理与妊娠结局分析　出处：《中国妇幼保健》2016年03期 　论文类型：期刊论文

【摘要】：目的分析高危妊娠筛查管理与妊娠结局,为提高高危妊娠监测管理水平提供科学依据。方法对平顶山市妇幼保健院2013年1月-2014年12月高危妊娠临床资料进行回顾性分析。结果从5 128名孕妇中筛查出1 586例高危孕妇,高危妊娠发生率为30.93%,重度高危妊娠416例(26.23%),一般高危妊娠1 170例(73.77%);1种高危因素685例(43.19%),2种高危因素581例(36.63%),3种及以上高危因素320例(20.18%);高危妊娠前5位病因为早产、胎儿宫内窘迫、胎膜早破、孕龄18岁或35岁与胎位异常。高危妊娠结局:无孕产妇死亡、新生儿窒息26例(1.64%)、出生缺陷15例(283.73/万)、死胎死产46例(2.90%)、新生儿死亡6例(0.38%)、早产401例(25.28%)、过期产32例(2.02%)、低体重儿15例(0.95%)、巨大儿258例(16.27%)、剖宫产912例(57.50%),与正常妊娠组比较差异均有统计学意义(P均0.01)。结论应将保健时间范围扩大到婚前阶段,提高孕期建卡率,及早发现高危妊娠因素,提高高危妊娠监测管理水平,保障母儿安全。
[Abstract]:Objective to analyze the high risk pregnancy and pregnancy screening to improve risk management, to provide a scientific basis for pregnancy monitoring management level. Methods of maternal and Child Health Hospital of Pingdingshan city in January 2013 -2014 year in December the high risk pregnancy clinical data were retrospectively analyzed. Results from 5128 pregnant women screened in 1586 cases of high-risk pregnant women, the incidence rate was 30.93% in high risk pregnancy, severe high risk pregnancy 416 cases (26.23%), 1170 cases of high-risk pregnancy (73.77%); 1 kinds of risk factors in 685 cases (43.19%), 2 high risk factors in 581 cases (36.63%), 3 or more risk factors in 320 cases (20.18%); high risk pregnancy before 5 disease because of premature birth, fetal distress, premature rupture of membranes. Gestational age of 18 or 35 years of age and fetal abnormalities. High risk pregnancy outcomes: no maternal death, 26 cases of neonatal asphyxia (1.64%), 15 cases of birth defects (283.73/ million), 46 cases of stillbirth (2.90%), neonatal death in 6 cases (0.38%), 401 cases of premature delivery (25.28%), too During the production of 32 cases (2.02%), 15 cases of low birth weight infant (0.95%), 258 cases of macrosomia (16.27%), 912 cases of cesarean section (57.50%), compared with the normal pregnancy group differences were statistically significant (P < 0.01). Conclusion health care should be the time to expand the scope of premarital pregnancy stage, improve the record rate early detection of high-risk pregnancy, high-risk pregnancy factors, improve the monitoring and management level, ensure maternal and child safety.

【作者单位】：平顶山市妇幼保健院;
【分类号】：R714.2
【正文快照】： 高危妊娠是指妊娠期间因某些致病因素或并发症而危及孕妇与胎儿安全,导致难产或危险妊娠者[1]。高危妊娠严重影响孕妇和胎儿健康,是导致孕产妇及围产儿死亡的主要原因[2]。为探索提高高危妊娠监测管理水平与工作质量,为进一步做好孕期保健工作提供科学参考依据,现将平顶山市妇

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