2017-2022年上海市楊浦區孕產婦妊娠評估顏色警示變化特征分析
首發時間：2025-11-11
鄭欣宇（2002-），女，主要研究方向：母嬰健康管理、婦幼人力資源管理
孫家敏 1 孫靜 2 馬亞娜 1 趙慧娜 2 黃琴 2黃琴（1979-），女，中級職稱，主要研究方向：婦幼保健
摘要：目的 掌握上海市楊浦區2017-2022年重點孕產婦發生現狀，對孕產婦妊娠風險預警進行評估及趨勢分析，為加強楊浦區的孕產婦有效性管理提供科學依據。方法 回顧性分析2017-2022年上海市楊浦區12家社區衛生服務中心以及4家助產醫療機構管轄的重點孕產婦相關資料。結果 （1）2017-2022年上海市楊浦區在冊管理的孕產婦總數為34749例，重點孕產婦總數為20637例，重點孕產婦發生率為59.39%。（2）不同年份、不同戶籍、不同年齡段之間重點孕產婦發生率均有差異，且差異具有統計學意義（P<0.05）。（3）妊娠風險因素前三位分別為，黃色：年齡≥35歲、BMI≥24 kg /m2及瘢痕子宮；橙色：BMI≥28kg /m2、需藥物治療的甲狀腺機能亢進和甲狀腺機能減退伴并發癥及年齡≥40歲。結論 各級婦幼保健機構要進一步加強對重點孕產婦的管理，尤其是流動人口、高齡以及使用輔助生殖妊娠技術的孕產婦，對妊娠風險因素要建立有效的干預措施，有效保障母嬰安全。
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Analysis of color warning change characteristics of pregnant women in Yangpu District, Shanghai from 2017 to 2022
鄭欣宇（2002-），女，主要研究方向：母嬰健康管理、婦幼人力資源管理
SUN Jiamin 1 SUN Jin 2 Ma Yana 1 Zhao Huina 2 HUANG Qin 2黃琴（1979-），女，中級職稱，主要研究方向：婦幼保健
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.
Keywords： Priority maternity Incidence Pregnancy risk Analysis of changes
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2017-2022年上海市楊浦區孕產婦妊娠評估顏色警示變化特征分析
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