目的:通过对非沪籍孕产妇妊娠结局的临床分析,发现存在问题,加强对该类人群的孕期保健管理,减少不良妊娠结局。方法:采用回顾性分析的方法,对2009及2010年住院分娩的非沪籍孕产妇的产检情况和妊娠结局进行分析,以同期沪籍孕产妇为对照,比较两者的不同。结果:与沪籍孕产妇相比,非沪籍孕产妇以经产妇居多,平均年龄较大,绝大多数(94.9%)为大专以下学历;46.92%无产检,仅3.58%有正规产检;孕产妇中过期妊娠、低体重儿以及巨大儿等不良妊娠结局的发生率与沪籍孕产妇相比,其差异具有显著性(P<0.05);过期妊娠、低体重儿以及巨大儿等不良妊娠结局的发生率与产前检查次数呈明显相关(P<0.001)。结论:非沪籍孕产妇,尤其是低学历者缺乏足够的围产期保健,更容易出现过期妊娠、低体重儿以及巨大儿等不良妊娠结局;产前检查对改善不良妊娠结局,如防止过期妊娠儿出生、减少巨大儿出生等有积极作用,应加强低学历非沪籍孕产妇的产前保健。 OBJECTIVE: Through the clinical analysis of the pregnant outcome of non-Shanghai pregnant women, we found the problems and strengthened the pregnancy health management of these people and reduced the adverse pregnancy outcomes. Methods: The retrospective analysis of the delivery of non-Shanghai pregnant women in hospital delivery in 2009 and 2010 were analyzed and pregnancy outcomes were compared to the same period pregnant women in Shanghai for comparison, the difference between the two. Results: Compared with Shanghai pregnant women, non-Shanghai maternity women were mostly mothers with average age, the vast majority (94.9%) were below college level; 46.92% had no child examination and only 3.58% had regular birth examination; The incidence of adverse pregnancy outcomes in pregnant women, low birth weight children and giant children was significantly higher than that of pregnant women in Shanghai (P <0.05). Out-of-step pregnancy, low birth weight children and macrosomia The incidence of prenatal examination was significantly correlated (P <0.001). Conclusion: Non-Shanghai maternity women, especially those with low education, lack adequate perinatal care and are more likely to have adverse pregnancy outcomes such as overdue pregnancy, low birth weight children and macrosomia. Prenatal care can improve adverse pregnancy outcomes such as prevention of outdated pregnancy Pregnancy was born to reduce the birth of a huge child has a positive effect, should strengthen the education of non-Shanghai pregnant women prenatal care.