diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
index 80338fa..388601c 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
@@ -231,9 +231,26 @@ public class AntenatalExaminationFacade {
      * @return
      */
     public HighScoreResult findLastRisk(String pid, boolean needLevel) {
+        HighScoreResult highScoreResult =  getPatLastRiskByDate(pid,needLevel,null);
+        return highScoreResult;
+    }
+
+    /**
+     * 查询当前产程孕妇高危因素
+     * @param pid
+     * @param needLevel
+     * @param date
+     * @return
+     */
+    public  HighScoreResult getPatLastRiskByDate(String pid, boolean needLevel,Date date)
+    {
         AntExQuery antExQuery=new AntExQuery();
         antExQuery.setPid(pid);
         antExQuery.setYn(YnEnums.YES.getId());
+        if (date != null)
+        {
+            antExQuery.setStart(date);
+        }
         List<AntenatalExaminationModel> list = antenatalExaminationService.queryAntenatalExamination(antExQuery.convertToQuery().addOrder(Sort.Direction.DESC, "modified"));
         HighScoreResult highScoreResult = new HighScoreResult();
         boolean next = true;
@@ -291,6 +308,10 @@ public class AntenatalExaminationFacade {
                 //初诊
                 AntExChuQuery antExChuQuery = new AntExChuQuery();
                 antExChuQuery.setPid(pid);
+                if (date != null)
+                {
+                    antExChuQuery.setStart(date);
+                }
                 antExChuQuery.setYn(YnEnums.YES.getId());
                 List<AntExChuModel> list1 = antenatalExaminationService.queryAntExChu(antExChuQuery);
                 if (CollectionUtils.isNotEmpty(list1)) {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyCheckFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyCheckFacade.java
index 840f8cb..4fa52a4 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyCheckFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyCheckFacade.java
@@ -361,7 +361,7 @@ public class BabyCheckFacade {
                     List<Patients> list = patientsService.queryPatient(patientsQuery);
                     if (CollectionUtils.isNotEmpty(list))
                     {
-                        HighScoreResult res = antenatalExaminationFacade.findLastRisk(list.get(0).getPid(),false);
+                        HighScoreResult res = antenatalExaminationFacade.getPatLastRiskByDate(list.get(0).getPid(), false, model.getBirth());
                         List<String> listHighRisk  = res.getHighRisk();
 
                         if (CollectionUtils.isNotEmpty(listHighRisk))