- Academic Editor
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Background: To analyze the impact of a
multidisciplinary collaborative diagnosis and treatment (MDT) management in obstetric outpatient departments on the outcome of
high-risk pregnancies, and to summarize the experience and to improve the
diagnosis and treatment ability of for critically ill obstetric patients.
Method: Two hundred sixty-six pregnant and lying-in women with
multidisciplinary treatment were selected for retrospective analysis. According
to the criteria, 176 high-risk pregnant women were included, including 83 cases
of outpatient MDT and 93 cases of inpatient MDT. The classification of pregnancy
diseases and pregnancy risk was carried out. The source of high-risk pregnant
women, the distribution and number of collaborative clinics, the classification
of major diseases, the classification of pregnancy risk, the mode of delivery,
the condition of labor, and pregnancy outcome were all analyzed to determine the
impact of participating in MDT timing on adverse pregnancy outcomes through
logistic regression analysis. Result: (1) The top 3 diseases in high
risk pregnant women undergoing MDT were pregnancy with cardiac disease 42.6%
(75/176), pregnancy with hypertension 14.2% (25/176), and pregnancy with immune
system disease 11.9% (21/176). Among pregnant women with cardiac disease, 38
(50.7%) were mainly congenital cardiac disease. (2) The number of high-risk
pregnant women with MDT in the hospital was more than that in the outpatient
department (p