[1]邓紫薇,吴 阳,王亚强,等.二孩政策下沈阳市皇姑区孕产妇保健及管理情况的回顾性分析研究[J].医学信息,2023,36(23):1-5.[doi:10.3969/j.issn.1006-1959.2023.23.001]
　DENG Zi-wei,WU Yang,WANG Ya-qiang,et al.Retrospective Analysis of Maternal Health Care and Management in Huanggu District of Shenyang Under the Two-child Policy[J].Journal of Medical Information,2023,36(23):1-5.[doi:10.3969/j.issn.1006-1959.2023.23.001]
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二孩政策下沈阳市皇姑区孕产妇保健及管理情况的回顾性分析研究()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年23期
页码:
1-5
栏目:
卫生管理信息学
出版日期:
2023-12-01

文章信息/Info

Title:
Retrospective Analysis of Maternal Health Care and Management in Huanggu District of Shenyang Under the Two-child Policy
文章编号:
1006-1959（2023）23-0001-05
作者:
邓紫薇; 吴 阳; 王亚强; 等
（1.宁夏医科大学公共卫生学院，宁夏 银川 750004；2.通用技术西安宝石花长庆医院质量控制科，陕西 西安 710032；3.宁夏医科大学基础医学院, 宁夏 银川 750004；4.中国医科大学公共卫生学院，辽宁 沈阳 110122；5. 北京大学第一医院宁夏妇女儿童医院超声医学科，宁夏 银川 750004）
Author(s):
DENG Zi-wei; WU Yang; WANG Ya-qiang; et al.
(1.School of Public Health,Ningxia Medical University,Yinchuan 750004,Ningxia,China;2.Quality Control Department,General Technology Xi’an Baoshihua Changqing Hospital,Xi’an 710032,Shanxi,China;3.School of Basic Medicine,Ningxia Medical University,Yinchuan,Ningxia 750004,China;4.School of Public Health,China Medical University,Shenyang 110122,Liaoning,China;5.Department of Ultrasound Medicine,Ningxia Women and Children’s Hospital,Peking University First Hospital,Yinchuan 750004,Ningxia,China)
关键词:
二孩政策; 孕产妇保健; 围生儿; 保健机构管理水平
Keywords:
Two-child policy; Maternal health care; Perinatal children; The level of management of health-care institutions
分类号:
R19
DOI:
10.3969/j.issn.1006-1959.2023.23.001
文献标志码:
A
摘要:
目的 了解二孩政策下沈阳市皇姑区2013-2018年孕产妇保健基本情况。方法 对2013-2018年皇姑区《孕产妇保健和健康情况年报表》收集整理，分析孕产妇、新生儿增长的变化趋势，不同年份保健管理指标差异性和变化趋势及2018年不同级别机构保健管理水平。结果 2013-2018年，孕早期建卡率、产前检查率均高于98.00%，产后访视率、系统管理率均大于95%，参与孕产妇梅毒、艾滋病项目检测人数高，且检出水平较低，住院分娩率均为100%，住院分娩活产率均高于99%，艾滋病病毒检测率、梅毒检测率、产前筛查率呈递增的显著趋势。剖宫产率偶有降低，但仍常年大于50%，处于较高水平。孕产妇贫血及围生儿低体重、超重、早产的现象占主导地位。出生后7日死亡率呈现递减的显著趋势，围生儿死亡率处于4‰~7‰。一级妇幼保健机构管理水平较低于二、三级保健机构。结论 二孩政策期间孕产妇保健管理水平提高、管理效果显著，适应孕产妇的增长，但存在剖宫产率过高问题。2018年孕产妇保健管理指标均达成辽宁省孕产妇保健管理“十三五”规划。社区卫生服务中心保健管理环节有待进一步提高。
Abstract:
Objective To understand the basic situation of maternal health care in Huanggu District of Shenyang City from 2013 to 2018 under the two-child policy. Methods The "Annual Report on Maternal Health and Health Conditions" in Huanggu District from 2013 to 2018 was collected and sorted. The changing trend of maternal and neonatal growth, the differences and changing trends of health care management indicators in different years, and different levels of institutional health care management in 2018 were analyzed. Results From 2013 to 2018, the card establishment rate in the first trimester and the prenatal examination rate were higher than 98.00%, and the postpartum visitation rate and system management rate were both higher than 95%. The number of pregnant women participating in syphilis and AIDS project detection was high, and the detection level was low. The hospital delivery rate was 100%, and the live birth rate of hospital delivery was higher than 99%. The HIV detection rate, syphilis detection rate and prenatal screening rate showed a significant increasing trend. The cesarean section rate occasionally decreased, but it was still more than 50% all the year round, at a high level. Anemia of pregnant women and low birth weight, overweight and premature birth of perinatal infants are dominant. The mortality rate on the 7th day after birth showed a significant decreasing trend, and the perinatal mortality rate was between 4‰ and 7‰. The management level of primary maternal and child health care institutions was lower than that of secondary and tertiary health care institutions. Conclusion During the two-child policy period, the management level of maternal health care has been improved, the management effect has been remarkable, and it has adapted to the growth of pregnant women, but there is a problem of high cesarean section rate. In 2018, the maternal health care management indicators have all reached the“13th Five-Year Plan”, the health care management of community health service centers needs to be further improved.

参考文献/References:

[1]陈藜.我国孕产妇与儿童卫生干预措施覆盖率的现状及公平性研究[D].北京:北京协和医学院,2013.[2]中华人民共和国卫生部.卫生部关于印发《孕产期保健工作管理办法》和《孕产期保健工作规范》的通知[EB/OL].(2011-07-08)[2023-01-20].http://www.nhc.gov.cn/fys/s3581/201107/8d09ba60c19545e3b80fa65328183537.shtml.[3]张书娟,刘玲,杨苹,等.孕期保健与足月产妇分娩结局关系研究[J].华南预防医学,2021,47(5):661-663.[4]国家卫生健康委员会妇幼健康司.中国妇幼健康事业发展报告(2019)[EB/OL].(2019-05-27)[2023-01-20].http://www.nhc.gov.cn/fys/jdt/201905/bbd8e2134a7e47958c5c9ef032e1dfa2.shtml.[5]王萌,祝丽玲.1996-2019年我国孕产妇保健情况调查[J].医学信息,2022,35(15):129-133.[6]尹宗智,杨媛媛,张英,等.生育政策调整对产妇年龄构成及产后出血发生率的影响[J].现代妇产科进展,2018,27(2):137-138.[7]韦玮,陈鸣华.2010-2015年无锡市孕产妇保健相关指标分析[J].中国妇幼保健,2016,31(23):4927-4929.[8]王跃生.当代社会转型与民众婚育行为变化[J].中国特色社会主义研究,2022,165(3):5-17.[9]陆以兴,刘思艳,彭伟.“二孩政策”后孕产妇结构及产科麻醉管理分析[J].麻醉安全与质控,2021,5(6):389-393.[10]张玲.妊娠晚期合并性传播疾病对妊娠结局及新生儿的影响[J].皮肤病与性病,2019,41(6):813-814.[11]郭艳巍,刘新伟,袁晓明,等.二胎政策后高剖宫产率的临床分析[J].河北医学,2019,25(10):1724-1729.[12]冯俊英,邹芳铭.二胎政策开放对剖宫产率的影响及相关影响因素探究[J].山西医药杂志,2017,31(9):1137-1140.[13]李文姬,廖淑芬,龚凤球,等.全程强化干预对社会因素高龄产妇剖宫产率和母婴近期结局的影响[J].中国妇幼保健,2020,35(21):3933-3935.[14]程贤鹦,孙志强.生育政策调整对剖宫产分娩的影响及三孩政策下管理策略探讨[J].中国优生与遗传杂志,2022,30(8):1296-1299.[15]丁可军,侯红林,舒莉萍,等.12722例新生儿出生体质量特点及其影响因素分析[J].贵州医科大学学报,2021,46(11):1294-1300.[16]胡敏,张玉,曾婷,等.柳州市2012-2018年新生儿低出生体重率变化趋势及影响因素分析[J].中国儿童保健杂志,2022,30(2):157-162.[17]谭秋成.基层医疗卫生机构的性质、行为及发展问题[J].学术界,2021,279(8):195-209.[18]谭严,周密,闫晶晶,等.生育政策调整初期重庆市孕妇建卡现状及影响因素[J].海南医学,2018,29(19):2725-2728.[19]韩娜,徐相蓉,林力孜,等.2013年-2017年北京市通州区流动人口孕产妇保健管理现状分析[J].中国生育健康杂志,2019,30(3):201-205,210.[20]刘铁诚.基本公共卫生服务项目政策目标落实的影响因素及完善策略研究[D].济南:山东大学,2021.

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更新日期/Last Update: 1900-01-01