目的了解二孩政策下高危妊娠状况,在当前产科资源缺乏的形势下,为高危孕产妇的管理提供参考依据。方法利用描述性统计、方差分析和χ2检验,对2015-2016年广东省妇幼信息系统导出的产检数据进行高危妊娠情况分析。结果 2016年总高危孕产妇发生率为39.15%,比2015年(25.16%)同比增加14个百分点,其中严重高危孕产妇发生率为30.67%,一般高危孕产妇发生率为8.48%。在孕期分布上,主要集中在孕中期。2016年排在前三位的严重高危因素分别是:疤痕子宫、不良孕产史、多胎妊娠;排在前三位的一般高危因素分别是:年龄<18岁或≥35岁、胚胎移植、人工流产>3次。结论增强妇女的孕前保健意识,提高孕产妇的定期产检率,特别是孕早期。及早筛查高危孕产妇进行干预,重点关注疤痕子宫、高龄、不良孕产史和妊娠合并症及并发症高危因素,减少不良妊娠结局,保障母婴安全,为二孩政策保驾护航。

Objective To understand the status of high-risk pregnancy under"two-child policy",and in order to provide reference basis for high-risk pregnancy management in the current situation of lacking obstetrics resources. Methods Descriptive statistics,One-Way ANOVA and Chi-squared test were used to analyze antenatal examination data between 2015 and 2016 derived from maternal and child information system of Guang Dong province. Results The incidence of high-risk pregnancy was 39. 15% in 2016,which grew by 14 percent than 2015,while the incidence of severe high-risk pregnancy was 30. 67%,and the incidence of ordinary high-risk pregnancy was 8. 48%. High-risk pregnancy distributed mainly in the second trimester. The top three factors of severe high-risk pregnancy were scar uterus,abnormal obstetric and multifetation. The top three factors of ordinary high-risk pregnancy were mother's age < 18 years old or age≥35 years old,embryo transplantation,abortion more than 3 times. Conclusion It is need to strengthen the consciousness of women's health care; improve the rate of regular antenatal care,particularly on early trimester; screening high-risk pregnant women early; focus on the factors of scar pregnancy,aged,abnormal obstetric and complications of pregnancy. And to ensure mother-infant safe,so as to reduce adverse pregnancy outcome and escort the two-child policy.