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目的分析社区常见高危因素及后果,为进一步提高高危妊娠管理水平积累经验。方法对社区2008年1月1日～2010年12月31日分娩的1124例高危妊娠产妇资料统计分析。结果社区高危妊娠发生率34.18%,剖宫产率64.02%,前3位高危因素分别为怀孕≥3次、年龄≥35岁、瘢痕子宫,两种以上高危因素占43.24%,动态高危妊娠转归率67.76%。高危妊娠早产率、新生儿窒息、死胎死产、新生儿死亡率明显高于正常妊娠,出生缺陷控制在较低水平。结论高危妊娠对妊娠结局有不良影响。重视高危因素的筛查和处理,加强高危妊娠的跟踪管理是保证母婴安全、减少不良结局的有效措施。
Objective To analyze common risk factors and their consequences in community and gain experience for further improving the management of high-risk pregnancy. Methods The data of 1124 pregnant women at high risk of pregnancy who gave birth in the community from January 1, 2008 to December 31, 2010 were collected. Results The incidence of high risk pregnancy in community was 34.18%, the rate of cesarean section was 64.02%. The first three risk factors were ≥3 times of pregnancy, ≥35 years of age, scarring of uterus, high risk factors of 43.24% Rate of 67.76%. Preterm birth rate of high-risk pregnancy, neonatal asphyxia, stillbirths, neonatal mortality was significantly higher than normal pregnancy, birth defects at a lower level. Conclusion High-risk pregnancies have adverse effects on pregnancy outcome. Pay attention to the screening and treatment of risk factors, and strengthen the tracking management of high-risk pregnancy is to ensure the safety of mother and child, reduce the adverse outcome of effective measures.