摘要目的 通过浙江省危重孕产妇监测系统掌握危重孕产妇发生水平及不良妊娠结局情况.方法 通过横断面调查选取2012至2013年浙江省危重孕产妇监测医院入院的所有危重孕产妇,网络直报危重孕产妇个案表,包括孕产妇的个人信息,妊娠合并症和并发症,危重孕产妇抢救措施和抢救过程,孕产妇及围产儿的不良结局发生情况.结果 共监测孕产妇161 660,共收集危重孕产妇826例,危重孕产妇的发病率5.6‰,危重孕产妇中妊娠期高血压疾病排首位,164例占19.9％;第2位是子宫收缩乏力,162例占19.6％;第3位为前置胎盘,146例占17.7％.危重孕产妇严重孕产结局中,子宫切除139例,子宫切除率16.8％.围产儿死亡81例,围产儿死亡率为10.4％,早产279例,早产出生率39.9％.结论 危重孕产妇监测有利于掌握危重孕产妇发生的流行病学情况,督促医疗机构改善产科质量,降低危重孕产妇发生率,早产儿出生率和围产儿死亡率.

abstractsObjective To explore the prevalence of maternal near miss (MNM) and adverse pregnancy outcomes in Zhejiang province by MNM surveillance system.Methods A cross-sectional study was conducted during 2012 and 2013.All MNM cases were recruited from the MNM surveillance system.The information was reported by direct network report system,including personal information,obstetric complications,maternal rescue measures,rescue process and severe maternal and perinatal outcomes.Results A total of 826 MNM patients were recruited.The MNM rate was 5.6 cases/1 000 live births (LB).Maternal gestational hypertension was the most common disease among MNM,accounting for 19.9％ (n =164).The second prevalent one was insufficient uterine contraction,accounting for 19.6％ (n =162).Placenta previa was the third one accounting for 17.7％ (n =146).Among adverse pregnancy outcomes,139 cases underwent hysterectomy (n =139,16.8％).There were 81 perinatal deaths with a perinatal mortality of 10.4％.And 279 cases (39.9％) were preterm.Conclusion MNM surveillance system is valuable for grasping the prevalence of MNM.And it helps to reduce MNM rate by improving the quality of obstetrics and lower the preterm rate and perinatal mortality.