摘要
目的：提高全国的产科质量，进一步降低孕产妇死亡率和婴儿死亡率。方法：卫生部妇幼卫生司组织有关专家在全国六大区各抽一个省为代表，随机抽取直辖市，单列市共１１个省、市、自治区的７５所产科医疗机构进行产科质量调查。结果：省级以上医院高级职称占３２．６８％，而县级医院仅有２．６３％；省级以上医院具有产科必备的设备，基层医院仪器设备较陈旧落后；全国孕产妇死亡率呈逐年下降趋势，住院分娩率高的地区孕产妇死亡率低，产前检查次数与孕产妇死亡率呈负相关，初次产前检查越晚，孕产妇死亡率越高；上海市及浙江省建立了一整套规范化管理制度，使产科质量有明显提高。结论：加强学科带头人的培养及基层专业人员的培训，增添和更新必要的设备，加强孕期保健和规范化管理，提高住院分娩率，是提高产科质量的关键。
Objective:Asurveronimplementingtheproclamationin“Nationalplanofactionforthesurvival,protectionanddevelopmentofchildrenin1990s”inChina(NPA),byreducingthema-ternalmortalityrate(MMR)byhalfandtheinfantmortalityrate(IMR)by1/3bytheyear2000asaproofofimprovedobstetricquality.Method:Thematernalandchildhealth(MCH)bureau,min-istryofhealth,havecaledonacooperativeinvestigationonobstetricqualityin75obstetricclinicsin11provinces,municipalitiesorautonomousregions,randomlysampledfromeachofthe6govern-mentalareasinChina.Thedatawerecolectedandanalyzedcentraly,togetherwiththeyearlyre-portsfromthemonitoredcountyhospitals.Results:Seniormedicalprofessionalsassociatedto32.68%inprovincialandteachinghospitalswhileonly2.63%inthecountyhospitals.Theformerareprovidedwithalnece-ssaryequipmentwhilethelaterwithinadequateandoutdatedones.MMRde-clinedyearbyyear,moremarkedwhereverhospitaldeliveryratewashighandwhenthenumbersofantenatalvisitweremore.However,whenantenatalvisitbeganlateinpregnancy,MMRroseZhe-jiangprovinceandShanghairankedfirstinobstetricqualitybecauseofaneficientsystematicman-agementofthepregnancies.Conclusions:Havingenoughleadingprofessionalsinthisspecialtytotrainadequatemedicalgroundpersonnelsatgressrootlevel;providingsuficientmedicalinstala-tions;enforcingeasilyandgoodqualityantenatalcareandincreasinghospitaldeliveriescariedoutunderauthoritativemanagementareimportantpointstoraisethequalityofobstetrics.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1996年第3期138-141,共4页
Chinese Journal of Obstetrics and Gynecology
关键词
产妇死亡率
围产期学
产前保健
调查表
MaternalmortatityPerinatologyPrenatalcareOrganizationandadmin-istrationQuestionnaires
