首页|山东省聊城市某三级医院8 468例高危孕产妇妊娠结局相关风险因素分析

山东省聊城市某三级医院8 468例高危孕产妇妊娠结局相关风险因素分析

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目的 探讨高危孕产妇妊娠风险评估分级特征及相应的风险因素顺位.方法 选取2021年在某三级妇幼保健院筛查评估的8 468例高危孕产妇作为研究对象,按照《山东省高危孕产妇评分表》对其进行妊娠风险评分分级,即黄色(一般风险)、橙色标识(较高风险)、红色标识(高风险)、紫色(孕妇患有传染性疾病),分析高危妊娠常见的危险因素.结果 8 468例高危孕妇风险评估分级包括黄色风险6 449例(76.16%)、橙色风险1 962例(23.17%)、红色风险6例(0.07%)和紫色风险298例(3.52%).黄色风险因素为剖宫产1次史(34.27%)、轻度缺铁性妊娠期贫血(31.74%)、妊娠期糖尿病(20.51%)等.橙色风险因素为BMI≥28(47.50%)、剖宫产≥2次(40.37%)等.红色风险因素包括凶险性前置胎盘等,紫色风险因素包括单纯HbsAg阳性(88.59%)、梅毒(7.72%)等.高危妊娠结局为足月阴道分娩57.91%、剖宫产41.82%、早产0.14%、流产0.09%、引产0.04%.结论 高危妊娠孕妇评估分级管理有利于提高围产期保健质量,降低孕产妇妊娠不良事件的发生.
Analysis of related risk factors of high-risk pregnancy in 8 468 cases screened in a tertiary hospital of Liaocheng,Shandong
Objective To explore the grading characteristics and corresponding rank of risk factors of high-risk pregnancy.Methods In 2021,8 468 high-risk pregnant women who were screened and assessed in a tertiary maternal and child healthcare hospital were selected as research subjects.According to the Shandong Provincial High-risk Pregnancy and Maternity Rating Scale,the pregnancy risk scoring and classification,namely yellow label(general risk),orange label(higher risk),red label(high risk),and purple label(pregnant women with infectious diseases),were conducted,and the common risk factors for high-risk pregnancy were analyzed.Results The risk assessment grades for the 8 468 high-risk pregnancies were as follows:6 449 cases(76.16%)of yellow-label risk,1 962 cases(23.17%)of orange-label risk,6 cases(0.07%)of red-label risk,and 298 cases(3.52%)of purple-label risk.The yellow-label risk factors:a cesarean section(34.27%),anemia of pregnancy with mild iron deficiency(31.74%),gestational diabetes(20.51%),etc.The orange-label risk factor:BMI≥28(47.50%),≥2 cesarean sections(40.37%),etc.The red-label risk factors include dangerous placenta previa,etc.and the purple-label risk factors included HbsAg positive(88.59%),syphilis(7.72%),etc.The outcomes of high-risk pregnancy included 57.91%vaginal deliveries of full-term pregnancy,41.82%cesarean deliveries,0.14%premature deliveries,0.09%abortions and 0.04%odinopoeia.Conclusions Evaluation and grading management of high-risk pregnant women is beneficial to improve the quality of perinatal health care and reduce the occurrence of adverse events during pregnancy.

High risk pregnancyRisk factorScreening evaluationPregnancy outcome

季丽、苏静、邢新丽、杨倩倩

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聊城市东昌府区妇幼保健院,山东聊城 252000

高危妊娠 风险因素 筛查评估 妊娠结局

2024

河南预防医学杂志
河南省预防医学会

河南预防医学杂志

影响因子:0.409
ISSN:1006-8414
年,卷(期):2024.35(5)
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