Analysis of the Distribution and Outcome of 1430 Cases of High-risk Pregnant and Lying-in Women Referred to the Hospital--based on the Perspective of Process Management
Objective:To analyze the referral data of high-risk pregnant women,understand the distribution and outcome of the dis-ease,and from the perspective of process management theory,summarize the referral experience from three aspects:mechanism con-struction before referral,standard diagnosis and treatment in the referral process,and experience summary after discharge.Methods:The clinical data of 1430 high-risk pregnant and lying-in women who were transferred to the certain hospital through outpatient and emergency services from 2020-2021 were retrospectively analyzed,and the age of the patients,the gestational weeks of referral,the dis-tribution of disease types,and the selection of operation methods were statistically analyzed.Results:The average age of referral was 29.9±5.2 years old,and the average gestational age of referral was 24.6±10.0 weeks;The distribution of diseases was as follows:preg-nancy complications(40.2％),pregnancy with uterine scar(23.4％),fetal appendage anomalies(15.0％),pregnancy with non-obstetric diseases(5.2％),and pregnancy supervision(4％);Operation type selection:Of 1430 referral patients,cesarean section accounted for 56.3％,spontaneous delivery accounted for 29.5％,pregnancy supervision accounted for 8.8％,postpartum referral accounted for 1％,spontaneous abortion and other postoperative patients accounted for 4.4％;66.3％were cured,32.4％improved,1.0％were transferred to other departments,and 0.3％were not cured.Conclusion:The early referral and standardized treatment of high-risk pregnant and ly-ing-in women is the key to reduce the mortality rate of pregnant and lying-in women and perinatal infants.We should improve the re-ferral network of pregnant and lying-in women in urban and rural areas,summarize and promote experience in time,and improve the treatment ability.
万方数据
维普
