| 摘要: |
| ［摘要］ 目的 探讨二孩政策开放前后影响危重孕产妇抢救的相关因素。方法 收集二孩政策开放前2015-01-01～2015-12-31及二孩政策开放后2016-01-01～2016-12-31在该院分娩的危重孕产妇临床资料，回顾性分析二孩政策开放前后两年中危重孕产妇一般情况、病因分布及母婴结局。结果 二孩政策开放前后危重孕产妇发生率无明显变化，但2015年与2016年比较危重孕产妇的产次差异有统计学意义（P<0.05）；危重孕产妇病因分布：2015年全年胎盘因素所致产后出血11例(26.83%)，2016年全年胎盘因素所致产后出血30例（63.83%）,两者比较差异有统计学意义（P<0.05）。结论 加强经产妇围产期保健工作能够及时、有效地对孕产妇危重症早诊断、早治疗；对瘢痕子宫的孕产妇进行产前检查及术前评估是减少二孩政策开放后危重孕产妇发生的关键因素。 |
| 关键词: 二孩政策 危重孕产妇 瘢痕子宫 相关因素 |
| DOI：10.3969/j.issn.1674-3806.2018.07.14 |
| 分类号:R 714 |
| 基金项目: |
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| Clinical analysis on 88 cases of maternal near miss before and after two-child policy |
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WANG Cai-shan
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Department of Obstetrics, the Second People′s Hospital of Nanning City, Guangxi 530031, China
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| Abstract: |
| ［Abstract］ Objective To study the related factors of rescuing maternal near miss before and after allowing an extra child(two-child policy). Methods The clinical data of maternal near miss during January 1, 2015 and December 31, 2015(before allowing an extra child), and during January 1, 2016 and December 31, 2016(after allowing an extra child) were analyzed retrospectively. The basic situation, etiology distribution and maternal-infant outcomes were compared between the two periods. Results There were no significant differences between 2015 and 2016 in the incidence rates of maternal near miss, but there were significant differences in delivery times between 2015 and 2016（P<0.05）. Postpartum hemorrhage occurred in 11 cases(26.83%) due to placental disorder in 2015, and in 30 cases(63.83%) in 2016, with a significant difference between 2015 and 2016（P<0.05）. Conclusion Strengthening multiparous perinatal care can diagnose and treat maternal near miss promptly and effectively, and prenatal examination and preoperative evaluation of pregnant women with scar uterus are the key factors to reduce the occurrence of critical pregnant women after two-child policy. |
| Key words: Two-child policy Maternal near miss Scar uterus Related factors |
