Progress in Research on the Management of High-Risk Pregnancies in China

Authors

  • Juan Zhu Lincoln University College
  • Faridah Mohd Said Lincoln University College
  • Chun Hoe Tan Lincoln University College

DOI:

https://doi.org/10.31674/ijbb.2024.v01i02.005

Abstract

A high-risk pregnancy is defined as one that is marked by unfavorable personal or social variables, as well as specific complications or comorbidities that have the potential to endanger the health of both the pregnant woman and her fetus, possibly resulting in difficult labor. Due to a constantly changing society and unfavorable environmental conditions, the incidence of gestational diabetes, hypertension, and other health issues among pregnant women has consistently increased. This has significantly compromised the safety of both mothers and infants. As a result, it is critical to thoroughly understand and analyze both local and foreign instances of high-risk pregnancies, while also suggesting appropriate control strategies. Methods: The literature on the occurrence and management of high-risk pregnancies at home and overseas was retrieved and summarized. Results: As the social and cultural environment changed, the number of older pregnancies increased, and more women with a history of cesarean section faced pregnancy and childbirth, resulting in an increased risk of high-risk pregnancies, a significant cause of maternal death. High-risk pregnancy has caused a severe impact on pregnant women’s physical, psychological, and mental health. Managing high-risk pregnancy has achieved remarkable results but also faces many difficulties. Conclusion: Optimizing the management approach for high-risk pregnancy has always been a focal point in maternal healthcare, and it has been extensively discussed for enhancement. The adjustment of fertility policies has resulted in an increasing number of high-risk pregnancies. Therefore, it is essential to fully understand and analyze the current situation of high-risk pregnancies and how they are managed, along with making suggestions and improvements that deal with the current problems in managing high-risk pregnancies which leads to providing new ways to protect the health of both mothers and children.

References

Aiping, G., Chi, J., & Liu, Y. (2019). The impact of the implementation of risk early warning assessment management model on the management of high-risk pregnant women. China Health Care Nutrition 2019 Volume 29, Issue 23, page 323. doi:10.3969/j.issn.1007-9572.2018.00.069

Aiqin, D., Xiuxia, X., & Hongxia, L. (2021). A study of the characteristics of pregnant women with high-risk pregnancies and the factors influencing pregnancy outcomes. South China Journal of Preventive Medicine(009), 047. doi:10.12183/j.scjpm.2021.1198

Bedei, I., Wolter, A., Weber, A., Signore, F., & Axt-Fliedner, R. (2021). Chances and Challenges of New Genetic Screening Technologies (NIPT) in Prenatal Medicine from a Clinical Perspective: A Narrative Review. Genes (Basel), 12(4). doi:10.3390/genes12040501

Bridwell, R. E., Long, B., Montrief, T., & Gottlieb, M. (2022). Post-abortion complications: a narrative review for emergency clinicians. Western Journal of Emergency Medicine, 23(6), 919. doi:10.5811/westjem.2022.8.57929

Cao, A. (2023). Application effect of prenatal care management on pregnant women with high risk pregnancies. Chinese medical Guide, 21(18), 183-185. doi:10.15912/j.cnki.gocm.2023.18.012

Correa-de-Araujo, R., & Yoon, S. S. (2021). Clinical outcomes in high-risk pregnancies due to advanced maternal age. Journal of Women's Health, 30(2), 160-167. doi:10.1089/jwh.2020.8860

Dungan, J. S., Klugman, S., Darilek, S., Malinowski, J., Akkari, Y. M. N., Monaghan, K. G., et al. (2023). Noninvasive prenatal screening (NIPS) for fetal chromosome abnormalities in a general-risk population: An evidence-based clinical guideline of the American College of Medical Genetics and Genomics (ACMG). Genet Med, 25(2), 100336. doi:10.1016/j.gim.2022.11.004

Fan, D., Lin, D., Rao, J., Li, P., Chen, G., Zhou, Z., et al. (2024). Factors and outcomes for placental anomalies: An umbrella review of systematic reviews and meta-analyses. J Glob Health, 14, 04013. doi:10.7189/jogh.14.04013

Fengxiang, H. (2019). A survey of high-risk Pregnancy status in SanMing city and coPing strategies under the background of comPrehensive two-child Policy. Nanchang University,

Fuzhen, Z., Wen, Z., & Ying, Z. (2019). Analysis of maternal risk factors in high-risk pregnancies in Haidian District, Beijing, China. Chinese Journal of Medicine, 54(2), 4. doi:10.3969/j.issn.1008-1070.2019.02.025

Holness, N. (2018). High-Risk Pregnancy. Nurs Clin North Am, 53(2), 241-251. doi:10.1016/j.cnur.2018.01.010

Jiang, Y., Qi, Q., & Meng, H. (2017). Analysis of undetermined copy number variation found by CMA technique in 308 high-risk pregnancies. Journal of Reproductive Medicine, 26(9), 863-868. doi:10.3969/j.issn.1004-3845.2017.09.003

Jianying, W., Yao, C., Fang, C., & Jianyong, C. (2019). Analysis of risk factors related to high risk pregnancy. Chinese Journal of Practical Nursing, 35(13), 961-964. doi:10.3760/cma.j.issn.1672-7088.2019.13.001

Jie, P., & Xinghui, L. (2020). Pregnancy management of high-risk pregnancies in the new coronary pneumonia epidemic from the perspective of mother and child safety. CHINESE JOURNAL OF FAMILY PLANNING & GYNECOTOKOLOGY, 12(3), 4. doi:DOI:CNKI:SUN:JHFC.0.2020-03-024.

Jones, R. D., Peng, C., Odom, L., Moody, H., & Eswaran, H. (2023). Use of Cellular-Enabled Glucometer for Diabetes Management in High-Risk Pregnancy. Telemed Rep, 4(1), 307-316. doi:10.1089/tmr.2023.0033

Khadivzadeh, T., Shojaeian, Z., & Sahebi, A. (2023). High Risk-pregnant Women's Experiences of Risk Management: A Qualitative Study. Int J Community Based Nurs Midwifery, 11(1), 57-66. doi:10.30476/ijcbnm.2022.96781.2148

Kuppusamy, P., Prusty, R. K., & Kale, D. P. (2023). High-risk pregnancy in India: Prevalence and contributing risk factors - a national survey-based analysis. J Glob Health, 13, 04116. doi:10.7189/jogh.13.04116

Leithner, K., Stammler-Safar, M., Springer, S., Kirchheiner, K., & Hilger, E. (2021). Three or less? Decision making for or against selective reduction and psychological outcome in forty women with a triplet pregnancy. Journal of Psychosomatic Obstetrics & Gynecology, 42(4), 286-292. doi:10.1080/0167482x.2020.1750005

Li, J., Jing, S., Xinli, X., & Qianqian, Y. (2024). Analysis of related risk factors of high-risk pregnancy in 8 468 cases screened in a tertiary hospital of Liaocheng, Shandong. Modern Disease Control and Prevention, 05, 383-385. doi:10.13515/j.cnki.hnjpm.1006-8414.2024.05.016

Liang, Y. (2020). To analyze the value of improved risk early warning assessment management in improving perinatal outcomes of high risk pregnant women. Electronic Journal Of Practical Clinical Nursing Science. doi:CNKI:SUN:SYJK.0.2020-01-010

Lin, H. (2021). Analysis of screening and management of high-risk pregnancies and their association with adverse pregnancy outcomes. Chinese General Practice, 24(S01), 86-87. doi:10.3969/j. issn.1006-6187.2014.05.006.

Lingyun, G., Liying, Z., & Xiaojing, C. (2018). High-risk Pregnancy and Intervention Measures in Chaoyang District of Beijing from 2013 to 2016. Chinese General Practice, 21(21), 5. doi:10.3969/j.issn.1007-9572.2018.00.069

Liu, J., Song, L., Qiu, J., Jing, W., Wang, L., Dai, Y., et al. (2020). Reducing maternal mortality in China in the era of the two-child policy. BMJ Glob Health, 5(2), e002157. doi:10.1136/bmjgh-2019-002157

Majella, M. G., Sarveswaran, G., Krishnamoorthy, Y., Sivaranjini, K., Arikrishnan, K., & Kumar, S. G. (2019). A longitudinal study on high risk pregnancy and its outcome among antenatal women attending rural primary health centre in Puducherry, South India. J Educ Health Promot, 8, 12. doi:10.4103/jehp.jehp_144_18

Man, W. W., Biyun, Y., & Hongqing, L. (2023). Incidence of high-risk pregnancy in pregnant women after the two-child policy and related influencing factors. Chinese And Foreign Medical Research, 21, 133-136. doi:133-136.DOI :10.14033/j.cnki.cfmr.2023.09.034.

Min, X., Fang, G., Maohua, Q., Haiyun, Y., Hong, S., Yanjuan, Z., et al. (2019). Analysis of high-risk pregnancy management in Kunming before and after the implementation of the comprehensive two-child policy. Maternal & Child Health Care of China(9), 4. doi:CNKI:SUN:ZFYB.0.2019-09-004

Mirzakhani, K., Ebadi, A., Faridhosseini, F., & Khadivzadeh, T. J. B. P. (2020). Well-being in high-risk pregnancy: an integrative review. BMC Pregnancy Childbirth, 20, 1-14. doi:https://doi.org/10.1186/s12884-020-03190-6

Morlando, M., & Collins, S. J. I. J. o. W. s. H. (2020). Placenta accreta spectrum disorders: challenges, risks, and management strategies. International Journal of Women's Health, 1033-1045. doi:http:/ldoi.org/l0.2147/INH.S224191

Organization, W. H. (2019). Maternal mortality. Retrieved from http:/www.who.int/mediacentre/factsheets/fs348/en/

Sebire, E., Rodrigo, C. H., Bhattacharya, S., Black, M., Wood, R., & Vieira, R. (2024). The implementation and impact of non-invasive prenatal testing (NIPT) for Down's syndrome into antenatal screening programmes: A systematic review and meta-analysis. Plos One, 19(5), e0298643. doi:10.1371/journal.pone.0298643

Shanshan Li, Li, H., He, C., MD, X. H., & Wang, Y. (2021). Development and Validation of a Nomogram for Predicting the Risk of Pregnancy-Induced Hypertension: A Retrospective Cohort Study. Journal of Womens Health, 30(8), 1182-1191. doi:10.1089/jwh.2020.8575

Sugai, S., Nishijima, K., Haino, K., & Yoshihara, K. (2023). Pregnancy outcomes at maternal age over 45 years: a systematic review and meta-analysis. Am J Obstet Gynecol MFM, 5(4), 100885. doi:10.1016/j.ajogmf.2023.100885

Tambvekar, S. E., Adki, S., & Sheriar, N. K. (2023). Pregnancies in Elderly Mothers over 40 years: What to Expect from the Rising New Age High-Risk Cohort? J Obstet Gynaecol India, 73(4), 358-362. doi:10.1007/s13224-022-01701-3

Wang, D., Wei, T., Wei, M., & Lu, H. (2020). The influence of universal two-child policy on the situation of pregnant women in hospital delivery. Chinese Journal of Reproductive Health, 31(1), 36-38. doi:CNKI:SUN:SYJK.0.2020-01-010

Wu, H., Liu, Y., Mo, J., & Xiong, Y. (2022). Effect analysis of pregnancy risk early warning assessment management model in high-risk pregnant women Journal of Clinical Medicine in Practice, 26(23), 77-79.

Xu, X., Zhang, D., Wu, J., & Zhang, H. (2020). The effect of optimizing prenatal care management on pregnancy outcomes in older women. Chinese Journal of Reproductive Health, 31(5), 454-457. doi:CNKI:SUN:SYJK.0.2020-05-012

Xueling, Z., Ye, X., Shaoying, Z., Jingping, Y., Jingjing, L., Minfang, H., et al. (2023). Construction of training program of nursing ability for the whole process care of midwives in high-riskpregnancy. Chinese Journal of Nursing Education, 20(9), 1084-1089. doi:0.3761/j.issn.1672-9234.2023.09.011

Yu, S., & Huixia, Y. (2017). Further promoting the clinical application of prenatal screening and prenatal diagnosis in early pregnancy in China. Chinese Journal of Perinatal Medicine, 20(3), 4. doi:10.3760/cma.j.issn.1007-9408.2017.03.001

Yuan, X., Long, W., Liu, J., Zhang, B., Zhou, W., Jiang, J., et al. (2019). Associations of serum markers screening for Down's syndrome with pregnancy outcomes: A Chinese retrospective cohort study. Clin Chim Acta, 489, 130-135. doi:10.1016/j.cca.2018.12.001

Zhimin, Z., Jun, N., & Ling, J. (2023). Analysis of influencing factors of the adverse pregnancy outcomes of high-risk pregnant women. Chinese Journal Of Family Planning & Gynecotokology, 31(2), 448-450.

Zhou, Y., Yin, S., Sheng, Q., Yang, J., Liu, J., Li, H., et al. (2023). Association of maternal age with adverse pregnancy outcomes: A prospective multicenter cohort study in China. J Glob Health, 13, 04161. doi:10.7189/jogh.13.04161

Zhu, X., Chen, M., Wang, H., Guo, Y., Chau, M., Yan, H., et al. (2021). Clinical utility of expanded non‐invasive prenatal screening and chromosomal microarray analysis in high‐risk pregnancy. Ultrasound in Obstetrics Gynecology, 57(3), 459-465. doi:doi:10.1002/uog.22021

Published

02-09-2024

How to Cite

Zhu, J., Mohd Said , F., & Chun Hoe Tan. (2024). Progress in Research on the Management of High-Risk Pregnancies in China. International Journal of Biotechnology and Biomedicine (IJBB), 1(2), 44-56. https://doi.org/10.31674/ijbb.2024.v01i02.005

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