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高危妊娠的系统监护是围产医学的核心,通过健全的围产保健网,每个孕妇在早孕2～3月时进行产前咨询,从中筛选出一些极度高危不宜妊娠的病例,进行疗病性流产。将极大多数孕妇按围产期评分结果和高危因素的种类和高危程度,分别在高危门诊和高危病房由专人进行监护。一旦胎儿成熟而高危因素仍然存在,可选择最合适的时候进行计划引产分娩。使胎儿早日脱离高危因素的威胁,可应用皮质激素静脉或羊膜腔内注射,可促使胎肺提早成熟,计划引产分娩的日期最早可提先至32～33孕周。本文报导新华医院1981年1～4月期间100例较严重的高危妊娠系统监护程序和结果。孕妇死亡率为0,畸形除外的修正围产儿死亡率为18.35‰,最常见的高危因素为重度孕毒症,先兆子痫～子痫。
Systemic monitoring of high-risk pregnancy is the core of perinatal medicine, through a healthy perinatal care network, each pregnant women in the first trimester of pregnancy from February to March for prenatal counseling, screening out some of the extremely high risk of pregnancy should not be the case for treatment of disease abortion. The vast majority of pregnant women according to the results of perinatal scoring and the types of high-risk factors and high-risk, respectively, in high-risk clinics and high-risk wards by hand custody. Once the fetus is mature and high-risk factors still exist, you can choose the most appropriate time to plan induction of labor. So that the fetus as soon as possible from the threat of risk factors, the application of corticosteroids or amniotic intra-amniotic injection can promote premature fetal lung maturity, labor induction of labor may be earliest delivery date to 32 to 33 gestational weeks. This article reports Xinhua Hospital from January 1981 to April 100 cases of more serious high-risk pregnancy monitoring procedures and results. The maternal mortality rate was 0, with the exception of deformity correction perinatal mortality rate was 18.35 ‰, the most common risk factors for severe pregnancy toxoid, preeclampsia ~ eclampsia.