Role of establishing the perinatal system management of high-risk infants

Abstract

Objective To explore role of establishing the perinatal system management of high-risk infants.Methods A retrospective survey was done from the gradual establishment of perinatal high-risk infants since the system management mode( 1995-2008 ),all hospitalized in our hospital and related neonatal birth information, analysis response after high-risk children quality of life in the management of key indicators, such as perinatal mortality rate, the incidence of asphyxia, low birth weight infants and extremely low birth weight infant survival, the occurrence of central coordination disorder of perinatal factors, intervention effects and high-risk infant follow-up.Results Delivery from 1995 to 2008, the number of year-on-year increase in the number of high-risk pregnancy, but the perinatal mortality rate showed a clear downward trend, asphyxia rate dropped to very low.The survival rate of very-low-birth-weight and extremely-low-birth-weight infants continue to improve; central coordination disorder occurred in a variety of risk factors, followed by fetal distress ( 30.5% ), mother of the history of early infection ( 28.5% ), ges-tational diabetes mothers( 27.8% ), full-term small for gestational age( 26.7% ), premature infants ( 25. 8%), neonatal asphyxia (25.0%), neonatal hypoxic-ischemic encephalopathy (23.1%), history of vaginal bleeding during early pregnancy ( 20.5% ), hyperbilirubinemia ( 15.9% ); and systems management in high-risk infants in the control group than the out-patient center coordination disorder found in children with early, short course, a good effect.Perinatal high-risk infants a year follow-up rate of 85% of them were premature and full-term small for gestational age.Conclusions Perinatal management of high-risk infants in the establishment of systems that can effectively improve the quality of perinatal life. Key words: Perinatal; High-risk infant; Model of system management