目的分析成都市温江区高危妊娠流行现状及其对妊娠结局的影响,为有针对性的开展高危孕产妇追踪管理工作提供科学依据。方法回顾性分析2017年1月1日-12月31日在成都市温江区产科执业机构分娩的9358例产妇的临床资料。结果产妇平均年龄为(28. 02±4. 05)岁,高危妊娠发病率为56. 08%。高危妊娠患者中前3位高危因素分别为瘢痕子宫(20. 83%)、年龄≤18岁或≥35岁(17. 93%)、妊娠期糖尿病(17. 61%)。随年龄、孕次和产次的增加,高危妊娠发病率增加。高危妊娠组早产、低出生体重、胎儿窘迫、剖宫产及产后出血的发生率较高。结论成都市温江区高危妊娠发生率处于较高水平,且以一般高危为主,结合高危因素积极采取针对性措施将有助于改善高危妊娠流行现状。

Objective To analyze the incidence of high risk pregnancy and its relationship with pregnancy outcome,to provide scientific evidences for tracking management of high-risk pregnant women. Methods The clinical data of 9358 women delivered in maternity hospitals in Wenjiang district between Jan 1,2017,and Dec 31,2017 were reviewed and analyzed. Results The mean age of recruited women was 28. 02 ± 4. 05 years old. The incidence of high risk pregnancy was 56. 08%. The top 3 of the risk factors of high risk pregnancy were: the scar uterus,accounting for 20. 83%,younger(≤18 years old) or older(≥35 years old),accounting for 17. 93%,and gestational diabetes mellitus(GDM),accounting for 17. 61%. The incidence of high risk pregnancy increased with age,gravidity and parity. The incidence of premature delivery,low birth weight,fetal distress,cesarean section and postpartum hemorrhage was higher in high-risk pregnancy group.. Conclusion The incidence of high risk pregnancy in Wenjiang distric is high.Taking active measures according to high risk factors will help to improve the prevalence of high risk pregnancy.