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随着上海市嘉定区流动人口逐年增长,流动孕产妇管理成为嘉定区妇幼保健工作的一大难题。为了降低孕产妇死亡率,2004年开设1家流动孕产妇平产分娩点,2006年增至3家,2007年开通危重孕产妇抢救绿色通道,2008年依靠三级网络四级组织,采取了综合协管员参与排摸孕情、开展了全区产科人员培训项目、建立了专家顾问团、成立了产科质控小组、完善了危重孕产妇会诊转诊抢救制度等综合措施,取得了明显效果。2008年全区分娩总数13 322例,其中流动孕产妇占83.26%,危重孕产妇抢救16例,抢救成功率100%,孕产妇死亡为零,围产儿死亡降至4.02‰。
With the floating population in Jiading District of Shanghai increasing year by year, mobile maternal management has become a major problem for MCH work in Jiading District. In order to reduce the maternal mortality rate, 1 mobile pregnant women were delivered to three delivery centers in 2004, which increased to 3 in 2006. In 2007, they launched a green channel for critical maternal rescue. In 2008, they relied on the three-tier network to organize and adopted a comprehensive The coordinators participated in arranging pregnant women’s feelings and carried out training programs for obstetricians in the region. They established an expert advisory group, set up a quality control team for obstetrics and gynecology, and improved comprehensive emergency measures such as the referral and rescue system for critically ill pregnant women. Significant results have been achieved. In 2008, a total of 13 322 childbirths were carried out in the whole district, among which mobile pregnant women accounted for 83.26%, critical pregnant women were rescued in 16 cases, rescue success rate was 100%, maternal deaths were zero and perinatal deaths dropped to 4.02 ‰.