【摘要】 <正> 为了降低围产儿死亡率,提高孕产妇健康水平,我院于1979年开展高危门诊,对高危妊娠479例在产前作系统监护,现报道如下。材料与方法从1979年6月～1982年8月共有高危妊娠479例,其中大部分在一般产科门诊,发现高危妊娠转入高危门诊;亦有少数病例在近足月或超过预产期才由他院转来者。高危门诊每周2次,制定表格专人负责,初诊时详细询问病史,填写各种记录。常规检验肝功能、血、尿常规(包括血型和尿糖)。产前监护方法:每次检查测量血压、体重。官底高度和腹围。对有死胎史的孕妇,除更多还原

【Abstract】 479 cases of high-risk pregnancy were under closed monitoring by regular antenatal visits including measurements of BP, body weight, heigth of fundus, abdominal circumference, fetal heart rate and fetal movements etc, Doppler B-type suprasonics and urine E₃ tests were done in part of these patients. There were 182 cases at a score of 10, 2 cases at a score of 45. The score of pregnant women and the degree of high-risk are in proportion. Among the 479 cases of high-risk pregnancy, 452 cases were delivered in Guangdong Provinical People Hospital. Among them there were 36 cases of twins; 274 cases of spontaneous vaginal deliveries; 211 cases delivered by cesarean section: （low segment 185 and classical 26）.360 cases the Apgar score of neonate were 10 within 1 min, the score of the lowest one is 2.The number of Living neonatal babies were increased by improving the antenatal care, intensive prevension of prematurity, selection the proper time for termination of pregnancy and proper widening the indication of cesarean section. The perinatal mortality was 47.13‰, After excluding the severe deformities and low-birth weight infants, the corrected perinatal mortality is 12.29‰. Among 178 cases with previous bad obstetric history （no living babies before） 96.06‰ got living babies in this pregnancy. There was no maternal mortality. The effect of monitoring on high-risk pregnancy was quite satisfactory.更多还原