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目的总结分析2007-2013年上海市青浦区危重孕产妇抢救病例,为加强高危孕产妇管理、进一步降低孕产妇死亡率提供依据。方法收集2007-2013年青浦区两家助产医院上报的危重孕产妇抢救病例并进行回顾性分析。结果 115例危重孕产妇抢救病例中,外地户籍孕产妇占90.43%;抢救成功率为97.39%;外地户籍孕产妇中低龄孕产妇、高龄孕产妇及孕次比例均高于本地户籍孕产妇,本地户籍孕产妇的规范产前检查率高于外地户籍孕产妇。危重孕产妇中,前3位病因为妊娠期高血压疾病(41.74%)、产科出血(33.04%)、异位妊娠(13.91%)。抢救以二级综合性医院为主,占54.78%。结论加强孕产妇保健管理,提高二级医院救治水平,发挥危重孕产妇抢救中心的优势,是降低孕产妇死亡率的重要措施。
Objective To summarize and analyze the critical maternal rescue cases in Qingpu District of Shanghai from 2007 to 2013, and provide the basis for further strengthening the maternal mortality management. Methods The cases of critical maternal rescue reported by two midwifery hospitals in Qingpu District from 2007 to 2013 were collected and analyzed retrospectively. Results Of the 115 cases of critical maternal rescue, 90.43% of maternity domiciles registered in foreign countries and the rescue success rate was 97.39%. The proportion of middle-aged pregnant women, elderly pregnant women and their number of pregnant women was higher than that of local registered pregnant women and local Registered mothers of the standardized prenatal care rate is higher than that of foreign mothers. Among the critically ill pregnant women, the top three causes were gestational hypertension (41.74%), obstetric hemorrhage (33.04%) and ectopic pregnancy (13.91%). Rescue to secondary general hospital, accounting for 54.78%. Conclusions Strengthening maternal health management, raising the level of treatment in secondary hospitals and giving play to the advantages of critical maternal rescue center are important measures to reduce the maternal mortality rate.