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目的 :了解危重孕产妇监测对孕产妇死亡率的影响情况,为降低孕产妇死亡、提高产科质量提供可循依据。方法 :回顾分析2016年我市三家监测医院危重孕产妇监测医院上报的《孕产妇个案调查表》中关于危重孕产妇分布、母婴结局、并发症等相关情况,以此来作为本次研究的参考资料。结果 :在产前检查次数上,检查0-4次的孕产妇出现并发症以及转变为危重孕产妇的发生率稍高于产前检查5次以上的孕产妇(P<0.05),但死亡率比较上,无明显差异(P>0.05)。此外,综合性医院接收的孕产妇监测下,在降低并发症发生率、危重孕产妇率、死亡率等方面,均显著优于非综合性医院机构(P<0.01)。结论 :对危重孕产妇实施有医学技术保障的、全方位的监测、访视,临床价值极高。
Objective: To understand the influence of critical maternal monitoring on maternal mortality and to provide evidence for reducing maternal mortality and improving obstetric quality. Methods: Retrospective analysis of the maternal distribution survey, maternal and child outcomes, complications and other related issues reported by the Maternal and Child Health Monitoring Hospital in three monitoring hospitals in 2016 in our hospital as a case study Reference material Results: During the prenatal period, the incidence of complications of maternal examination of 0-4 times and the transition to critical maternal was slightly higher than that of prenatal examination more than 5 times (P <0.05), but the mortality rate In comparison, there was no significant difference (P> 0.05). In addition, the monitoring of maternal mothers in general hospitals was significantly superior to that of non-comprehensive hospital institutions in terms of reducing the incidence of complications, critical maternal rate and mortality (P <0.01). Conclusion: The implementation of medical and technical support for critically ill pregnant women, all-round monitoring, visit, clinical value is extremely high.