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目的:进一步识别高危妊娠的高危因素,加强高危妊娠的监护管理,提高清苑县孕产妇系统管理质量,为降低孕产妇和围产儿的死亡率提供依据。方法:按照河北省保定市“降消”项目县级孕产妇急救网络建设和管理办法中《高危孕产妇评分标准》,调查2011年10月~2012年9月在清苑县定点医疗机构进行产前检查,筛查高危妊娠,各乡保健医统一管理,每月定期上报,并进行随访管理。结果:高危妊娠发生率为10.62%,高危妊娠住院分娩率为100.00%,高危孕产妇死亡率为0.00%,围产儿死亡率为11.73‰。结论:加强孕产妇保健知识的健康教育,合理科学饮食指导,定期产前检查,及早识别和预防高危因素的发生发展,减少妊娠期合并症的发生,提高围产期保健质量,保障母婴安全和健康。
OBJECTIVE: To further identify the risk factors of high-risk pregnancy, strengthen the supervision and management of high-risk pregnancy and improve the quality of system management of pregnant women in Qingyuan County, so as to provide basis for reducing the mortality rate of pregnant women and perinatal children. Methods: According to the “High-risk maternal grading standards” in county-level maternity emergency network construction and management measures in Baoding City, Hebei Province, the survey was conducted from October 2011 to September 2012 in Qingyuan County designated medical institutions Prenatal examination, screening of high-risk pregnancy, township health care unified management, regular monthly reports, and follow-up management. Results: The incidence of high-risk pregnancy was 10.62%, hospital delivery rate of high-risk pregnancy was 100.00%, high-risk maternal mortality rate was 0.00% and perinatal mortality rate was 11.73 ‰. Conclusion: To strengthen health education of maternal health knowledge, reasonable scientific diet guidance, regular prenatal examination, early identification and prevention of the development of risk factors, reduce the incidence of complications during pregnancy, improve perinatal health quality and ensure the safety of mother and baby And health.