【摘要】 目的 了解2018—2022年淄博市孕产妇妊娠风险评估与管理工作情况，分析工作成效,为下一步工作提供参考依据。方法 根据2018年《淄博市高危孕产妇管理工作实施方案》要求，对2018年1月—2022年12月淄博市孕产妇进行妊娠风险筛查、评估分级、管理，对孕产妇进行随访，进行产后风险评估，并收集相关个案和报表，分析妊娠风险评估情况、孕产妇高风险因素发生情况、急危重症孕产妇发生情况、孕产妇母婴妊娠结局。结果 淄博市数据显示，筛查重点孕产妇21 348名，妊娠风险紫色501名，红色184名，橙色20 663名，其中以橙色人数较多，占比96.79%。进行孕产妇妊娠风险评估与管理取得一定成效，孕产妇死亡率、婴儿死亡率呈下降趋势。结论 对孕产妇实施妊娠风险评估，并据此实施相应的分级管理措施，能提升孕产妇保健管理水平，可降低孕产妇和围产儿的死亡率。更多还原

【Abstract】 Objective To understand the pregnancy risk assessment and management of pregnant women in Zibo City from 2018 to 2022, analyze the work results, and provide reference for the next work. Methods According to the Requirements of the Implementation Plan of High-Risk Pregnant and Pregnant Women Management in Zibo City in 2018, pregnancy risk screening,evaluation, grading and management were carried out for pregnant and pregnant women in Zibo City from January 2018 to December 2022, follow-up visits were made for pregnant and pregnant women, postpartum risk assessment was carried out,and related cases and statements were collected. The situation of pregnancy risk assessment, occurrence of high risk factors in pregnant women, occurrence of emergency critically ill pregnant women, and pregnancy outcome of maternal and infant were analyzed. Results The data of Zibo city showed that 21 348key pregnant women were screened, 501 pregnant women were purple, 184 pregnant women were red and 20663 pregnant women were orange, among which the number of orange was more,accounting for 96.79%. Maternal pregnancy risk assessment and management has achieved some results, and maternal mortality and infant mortality rates have continued to decline. Conclusion The implementation of pregnancy risk assessment and the corresponding hierarchical management measures can improve the level of maternal health care management and reduce the maternal and perinatal mortality.更多还原