2017-2022年上海市杨浦区孕产妇妊娠评估颜色警示变化特征分析
Analysis of color warning change characteristics of pregnant women in Yangpu District, Shanghai from 2017 to 2022
郑欣宇 1孙家敏 1孙静 2马亚娜 1赵慧娜 2黄琴2
作者信息
- 1. 苏州大学苏州医学院公共卫生学院，江苏 苏州，215123
- 2. 上海市杨浦区妇幼保健院，上海，200092
- 折叠
摘要
目的 掌握上海市杨浦区2017-2022年重点孕产妇发生现状，对孕产妇妊娠风险预警进行评估及趋势分析，为加强杨浦区的孕产妇有效性管理提供科学依据。方法 回顾性分析2017-2022年上海市杨浦区12家社区卫生服务中心以及4家助产医疗机构管辖的重点孕产妇相关资料。结果 （1）2017-2022年上海市杨浦区在册管理的孕产妇总数为34749例，重点孕产妇总数为20637例，重点孕产妇发生率为59.39%。（2）不同年份、不同户籍、不同年龄段之间重点孕产妇发生率均有差异，且差异具有统计学意义（P<0.05）。（3）妊娠风险因素前三位分别为，黄色：年龄≥35岁、BMI≥24 kg /m2及瘢痕子宫；橙色：BMI≥28kg /m2、需药物治疗的甲状腺机能亢进和甲状腺机能减退伴并发症及年龄≥40岁。结论 各级妇幼保健机构要进一步加强对重点孕产妇的管理，尤其是流动人口、高龄以及使用辅助生殖妊娠技术的孕产妇，对妊娠风险因素要建立有效的干预措施，有效保障母婴安全。Abstract
Objective To grasp the current situation of key maternal occurrences in Yangpu District, Shanghai, from 2017 to 2022, and to assess and analyze the trend of early warning of maternal pregnancy risk, so as to provide a scientific basis for strengthening the maternal management in Yangpu District. Methods RetrospectiAnalysis of color warning change characteristics of pregnant women in Yangpu District, Shanghai from 2017 to 2022ve analysis of data related to key pregnant women under the jurisdiction of 12 community health centers as well as 4 midwifery medical institutions in Yangpu District, Shanghai, from 2017 to 2022. Results (1)The total number of mothers managed in this jurisdiction in Yangpu District, Shanghai, from 2017 to 2022 was 34,749 cases, of which the total number of key pregnant women was 20,637 cases, and the incidence rate of key pregnant women was 59.39%. (2)Between years, the incidence of priority pregnancies and births was significantly different by household registration and age group, and the difference was statistically significant (P<0.05).(3) The top three risk factors for pregnancy were, respectively, yellow: age ≥35 years, BMI ≥24 kg/m2 and scarred uterus; orange: BMI ≥28 kg/m2, hyperthyroidism and hypothyroidism with complications requiring medication, and age ≥40 years. Conclusions Maternal and child health-care institutions at all levels should further strengthen the management of priority pregnancies and births, especially those of the migrant population, those of advanced age, and those using assisted reproduction pregnancy techniques, and should establish effective interventions for pregnancy risk factors to effectively safeguard the safety of mothers and infants. 
评论