综合干预措施对疤痕子宫再次妊娠母婴结局的效果分析  

An Analysis the Effect of Comprehensive Intervention Measures on Maternal and Infant Outcomes of Scar Uterus Re-pregnancy

作　　者：曹晶 金龙妹 姚雁 王秀蕊 CAO Jing;JIN Long-mei;YAO Yan;WANG Xiu-rui(Shanghai Minhang District Maternal and Child Health Hospital,Shanghai 201102,China)

机构地区：[1]上海市闵行区妇幼保健院,上海201102

出　　处：《临床医药文献电子杂志》2020年第24期1-3,12,共4页Electronic Journal of Clinical Medical Literature

基　　金：上海市闵行区自然科学研究课题(编号:2015MHZ044)。

摘　　要：目的分析闵行区施行疤痕子宫孕产期预警的干预措施的效果。方法采用回顾性分析的方式,分析近5年妇婴卫生工作季度报表和剖宫产临床资料进行分析。结果近5年闵行区剖宫产率>40%,疤痕子宫一直居于剖宫产指征首位,疤痕子宫孕产妇有上升趋势,其中2017年达峰值,占孕产妇总数21.73%。采取干预措施后,疤痕子宫产后出血率逐年下降,孕产妇死亡率为0。结论疤痕子宫孕妇妊娠风险高,加强疤痕子宫孕产期预警的干预措施是有必要且可行有效的。Objective To analysis the effect of comprehensive intervention measures on maternal and infant outcomes of scar uterus re-pregnancy in Minhang District.Methods With the method of retrospective analysis,analysis of the penetration in the last five years health work quarterly reports and associated clinical data.Results In the past five years,the cesarean section rate in minhang district has been over 40%,and scar uterus has always been the first indication of cesarean section.There is a rising trend in the number of pregnant women with scar uterus,and the number of pregnant women with scar uterus reached the peak in 2017,accounting for 21.73%of the total number of pregnant women.After intervention,the rate of scar uterus postpartum hemorrhage decreased year by year.Maternal mortality is zero.Conclusions Pregnant women with scar uterus have a high risk of pregnancy.It is necessary,feasible and effective to strengthen the early warning of scar uterus during pregnancy and delivery.

关 键 词：疤痕子宫 干预措施 剖宫产指征 

分 类 号：R473.71[医药卫生—护理学]