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A control study on the application of risk early warning assessment management in high risk pregnant women under the “two child” policy |
YANG Hong LI Li XIAO Jie |
Department of Obstetrics and Gynecology,Pingxiang Maternal and Child Health Care Hospital,Jiangxi Province,Pingxiang 337000,China |
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Abstract Objective To explore the effect of risk early warning assessment and management in high-risk pregnant women under the “two child” policy.Methods The clinical data of 76 pregnant women with high risk of second child admitted to Pingxiang Maternal and Child Health Hospital from January to October 2020 were retrospectively analyzed.According to the intervention method,they were divided into control group(38 cases)and observation group(38 cases).The control group adopted the traditional high risk scoring method,and the observation group adopted the risk early warning assessment management intervention method.Risk classification,successful delivery,maternal and infant outcomes,pregnancy comorbidities and complications,and neonatal Apgar score were compared between the two groups.Results The total incidence of high-risk pregnancy in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in the successful delivery rate between the two groups(P>0.05).The total incidence of adverse maternal and infant outcomes in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The incidence of pregnancy complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).There was no significant difference in Apgar score 1 min after birth between the two groups(P>0.05).The Apgar score of the observation group was higher than that of the control group 5 min after birth,the difference was statistically significant(P<0.05).Conclusion The application of risk early warning assessment management under the "two child" policy in high-risk pregnant women has good effect,the total incidence of high-risk pregnancy is low,the successful delivery rate is high,and the maternal and infant outcomes are good.
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[1] |
Kasawara KT,Surita FG,Pinto E.Translational studies for exercise in high-risk pregnancy:Pre-eclampsia model[J].Hypertens Pregnancy,2016,35(3):265-279.
|
[2] |
沈霞,袁文娟,季帅焱.妊娠风险预警评估模式在孕产妇管理中的应用效果[J].医药高职教育与现代护理,2020,3(1):60-63.
|
[3] |
吴艳慈,洪燕,陈玉娉.二孩政策下高危妊娠产妇的风险预警评估管理[J].齐鲁护理杂志,2019,25(24):72-74.
|
[4] |
蔡益香,黄美凌,江紫妍,等.助产士高危预警评估能力现状分析[J].中国妇幼保健,2019,34(22):5321-5323.
|
[5] |
崔亚华.产房风险分级管理及风险预警制度在高危妊娠产妇管理中的应用[J].全科护理,2019,17(24):2991-2993.
|
[6] |
徐明菊.风险预警评估管理模式在高危妊娠孕妇中的应用效果[J].实用心脑肺血管病杂志,2019,27(S1):75-77.
|
[7] |
Fernandes JA,Venancio SI,Pasche DF,et al.Assessment of care for high-risk pregnancy in four Brazilian metropolises[J].Cad Saude Publica,2020,36(5):e00120519.
|
[8] |
张灵芳,赵明利,张雪葳,等.待产孕妇风险预警评估工具的构建及评试[J].中国生育健康杂志,2019,30(3):211-214.
|
[9] |
周伟梅,蒋燕娟,朱东香.签约式管理在高危孕产妇妊娠风险预警评估中的作用[J].名医,2019(4):70.
|
[11] |
张珊珊,黄婷.改良风险预警评估管理对改善高危妊娠产妇围产结局的价值[J].中国病案,2019,20(2):91-94.
|
[12] |
李志敏.风险预警评估管理模式在高危妊娠产妇管理中的应用[J].齐鲁护理杂志,2018,24(11):103-105.
|
[13] |
李菲菲,徐先明.妊娠期高危孕产妇风险管理及分级预警的应用[J].中华产科急救电子杂志,2018,7(2):68-71.
|
[14] |
肖婷婷,廖太秀,甘淑珍,等.风险预警评估管理模式应用于高危妊娠产妇管理的效果评价[J].中国医学创新,2017,14(28):112-115.
|
[10] |
Medeiros FF,Santos IDL,Ferrari RAP,et al.Prenatal follow-up of high-risk pregnancy in the public service[J].Rev Bras Enferm,2019,72(suppl 3):204-211.
|
[15] |
林静,靳军.风险预警评估管理模式在高危妊娠产妇管理中的应用体会[J].中医药管理杂志,2017,25(5):118-120.
|
[16] |
庞红雅.风险预警评估管理模式应用于高危妊娠产妇管理的效果观察[J].中国卫生产业,2015,12(28):156-158.
|
[17] |
李瑞青.风险预警评估管理模式在高危妊娠产妇管理中的应用[J].山东医学高等专科学校学报,2019,41(02):145-146.
|
[18] |
李志敏.风险预警评估管理模式在高危妊娠产妇管理中的应用[J].齐鲁护理杂志,2018,24(11):103-105.
|
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