Abstract:ObjectiveTo analysis dynamic monitoring results of maternal near miss,summary the occurrence of maternal near miss factors and preventive measures, understand and improve the obstetric quality and ensure the perinatal safety. Methods1203 cases of matemal near miss data reported by monitoring unit of Zhengzhou from 2012 to 2014 were retrospectively analyzed. Results①The incidence of maternal near miss was 7.53‰,1062 cases belong to direct obstetric factors, accounting for 44.10%, indirect obstetrical factors of 1346 cases, accounting for 55.90%. Direct obstetrical factors gradually reduced, indirect obstetric factors showed a rising trend(P<0.01), which significantly increased in liver diseases(P<0.01). ②The first three causes of rescue were hypertensive disorder complicating pregnancy, obstetric hemorrhage, and pregnancy associated with anemia, the main cause of obstetric hemorrhage were placenta previa, uterine atony and soft birth canal laceration, accounting for 40.49%, 21.68% and 11.25% respectively, further more, placenta previa and soft birth canal laceration is rising year by year(P<0.01). ③Provincial hospital is the main body of the rescue, accounting for 78.47%, followed by the municipal hospital, accounted for 18.37%. ConclusionPaying more attention to obstetric hemorrhage, strengthen the prevention and control of internal and surgical diseases complicated with pregnancy, early screening and identifying the risk factors,strict indications for cesarean section are effective measures to reduce incidence and improve success rate of severe and critical pregnant and parturient women.
徐艳菊, 冯光荣. 2012~2014年郑州市危重孕产妇医院监测资料分析[J]. 实用预防医学, 2016, 23(1): 61-63.
XU Yanju, FENG Guangrong. Analysis of maternal near miss hospital monitoring data in Zhengzhou from 2012 to 2014. , 2016, 23(1): 61-63.