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目的 :探讨导致孕产妇出现高度危象的因素及加强对高危孕产妇的管理对降低孕产妇及新生儿死亡率的意义。方法 :将2005年至2013年我们保健所收治的200例高危孕产妇作为研究对象,探讨这些孕产妇出现高度危象的原因,对比在对这些高危孕产妇实施管理前和实施管理后两个阶段孕产妇和新生儿的死亡率。结果 :经研究,导致这些孕产妇出现高度危象的因素包括不良孕产史、胎盘和羊水因素、胎位异常、妊娠合并内外科疾病和胎儿宫内窘迫等。经过对这些孕产妇实行管理后新生儿的死亡率显著低于对这些孕产妇实施管理前,差异显著,有统计学意义(P<0.05)。而产妇的死亡率在对孕产妇实施管理前和实施管理后无差异,P>0.05。结论 :通过对高危孕产妇进行产前的健康教育、在妊娠期对其存在的高危因素进行严格的控制,以及加强对其进行妇幼保健等方面的管理工作,能够确保孕产妇及围生儿的身体健康和生命安全,此管理方法具有较高的临床应用价值。
Objectives: To explore the factors that lead to the emergence of a high risk of maternal death and the significance of strengthening the management of high-risk maternal deaths to reduce maternal and neonatal mortality. Methods: From 2005 to 2013, we selected 200 high-risk pregnant women who were admitted to our health center as the research object to explore the reasons why these pregnant women have a high risk of crisis. Compared with the two stages before and after the management of high-risk pregnant women Maternal and newborn mortality. Results: The factors that led to the high risk of these maternal diseases include poor history of maternal history, placenta and amniotic fluid factors, abnormal fetal position, pregnancy and surgical diseases, and fetal distress. After the maternal management of these newborns was significantly lower than the management of these maternal management before the difference was statistically significant (P <0.05). However, there was no difference in maternal mortality before and after maternal management (P> 0.05). Conclusion: Through prenatal health education for high-risk pregnant women, strict control of their risk factors during pregnancy, as well as strengthening the management of maternal and child health care, it can ensure that pregnant women and perinatal children Physical health and life safety, this management method has a high clinical value.