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目的了解“全面二孩”政策实施后双流区基层妇幼卫生的现状,并提出可行性建议。方法通过资料汇总和定性访谈等方法对双流区现有妇幼卫生资源配置情况及存在的问题进行总结,并采用线性回归分析法和相关出生人口预测方法,对2016-2020年的出生人口总量进行预测。结果全区总计拥有产科床位115张,儿科床位106张,床位使用率分别达到102.6%和103.9%,2018年双流区出生人口最高将达到11 086人,远远超出双流区现有妇幼卫生服务能力。结论 “全面二孩”实施后,出生人口总量超出了现有妇幼卫生服务能力,给基层妇幼卫生提出了新挑战。基层助产机构要做好准备措施,正确应对,并抓住机遇,提高服务能力。
Objective To understand the current status of maternal and child health at the grassroots level in Shuangliu district after the implementation of the policy of “all-round two children” and to put forward feasible suggestions. Methods The existing maternal and child health resource allocation and existing problems in Shuangliu District were summarized through data summary and qualitative interview, and the total population of births in 2016-2020 was estimated by using linear regression analysis and related birth population forecasting methods prediction. Results A total of 115 obstetric beds and 106 pediatric beds were used in the district, occupying 102.6% and 103.9% of beds, respectively. The highest birth rate in Shuangliu District in 2018 will reach 11 086, far exceeding the existing MCH capacity in Shuangliu District . Conclusion After the implementation of the “all-round second child”, the total number of births exceeds the capacity of existing maternal and child health services and poses new challenges for grass-roots MCH. Primary-level midwifery should be prepared to deal with the right response, and seize the opportunity to improve service capabilities.