为了提高孕产期保健工作的质量,及时发现高危妊娠并进行科学管理,达到降低孕产妇和围产儿死亡率的目的。我们对1990年1月～1991年12月发生的3838例高危孕妇的高危因素进行了评分调查分析,发现针对前十位高危因素进行预防性宣教和早期识别管理,是降低母婴死亡率的关键措施,现报道如下: 一、资料与方法 In order to improve the quality of maternal health care, timely detection of high-risk pregnancies and scientific management, to reduce the maternal and perinatal mortality. We conducted a scoring analysis of the risk factors for 3838 high-risk pregnant women that occurred between January 1990 and December 1991 and found that preventive education and early identification management of the top ten risk factors are key to reducing maternal and infant mortality Measures are reported as follows: First, information and methods