目的探讨临床采用妊娠管理，对高危孕产妇分娩和新生儿状况的影响，为高危孕产妇分娩提供更安全的措施，并为提高新生儿的生存率提供依据。方法选取本院2011年6月-2014年6月收治的380例高危孕产妇进行研究，随机将患者分为两组，观察组采用加强妊娠管理模式进行干预，对照组采用常规的管理模式进行干预，观察两组产妇剖宫产率、早产、流产、胎儿异常等。结果观察组产妇中采用剖宫产率为45.79%，显著低于对照组的75.26%，P<0.05；且观察组早产、流产、胎儿异常发生率显著低于对照组，与对照组常规模式干预相比，差异有统计学意义，P<0.05。结论对高危孕产妇加强妊娠管理有助于降低剖宫产率，降低新生儿死亡率，还需要临床工作者不断完善和加强高危妊娠管理的相关方法。%Objective To study the effect of pregnancy management on delivery of high-risk puerperae and condition of neonatus in order to take more security measures for delivery of high-risk puerperae and provide evidences of improving the survival rate of neonatus. Methods From June 2011 to June 2014, 380 high-risk puerperae in our hospital were included in our study and divided into two groups randomly, observation group with pregnancy management intervention and control group with usual management intervention. Cesarean section rate and incidence of premature delivery, abortion and fetal abnormality of the two groups were studied in our study. Results In observation group, the cesarean section rate was45.79%which was significantly lower than the rate of 75.26%in control group (P<0.05);and observation group had significantly lower incidence rates of premature delivery, abortion and fetal abnormality than control group. There was significant difference between observation group and control group (P<0.05). Conclusion To implement and strengthen pregnancy management among high-risk puerperae could contribute to the reduction of cesarean section rate and neonatal mortality rate. Moreover, clinical workers should improve the related methods of pregnancy management constantly.
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