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目的了解山西省助产机构服务能力情况,为提高产科服务能力及制定相应政策提供依据。方法对山西省具有接产能力的医疗机构进行普查,发放统一调查问卷,对产科相关质量相关指标进行分析。结果山西省助产机构主要集中在经济发展较快、人口较密集的区域中,存在明显的地区差异性。2010-2014年山西省产科总床位数的增长不足以满足分娩总量的增长,其中高危重症产妇主要集中于三级医院,三级医院对于产科危重症抢救技术的掌握率最高。医院血库具备情况不容乐观,不利于危重症孕产妇的抢救。结论山西省助产机构按地理位置分布不均衡;产科床位仍需继续扩大建设;继续巩固产科事业发展取得的成果,改变传统的产前保健观念,将围生保健的重点由孕中、晚期逐渐前移到孕早期甚至孕前期,切实降低产科危重症的发生率;提倡自然分娩,降低剖宫产率;加强产科急救服务力量,提高产科医务人员技术水平,完善各级医院抢救相关设备的建设;建立健全产科质量管理工作制度,统一产科工作手册和统计上报表;加强医院之间的网络信息沟通。
Objective To understand the service capacity of midwifery institutions in Shanxi Province and provide the basis for improving obstetric services and formulating appropriate policies. Methods The medical institutions with capacity in Shanxi Province were surveyed, the questionnaires were distributed, and the related indicators of obstetrics-related quality were analyzed. Results The midwifery institutions in Shanxi province mainly concentrated in the areas with fast economic growth and dense population, with obvious regional differences. The total number of maternity beds in Shanxi Province during 2010-2014 is not enough to meet the growth of the total delivery. The high-risk and severe maternal diseases are mainly concentrated in the tertiary hospitals. The tertiary hospitals have the highest rate of obstetric rescue. Hospital blood bank with the situation is not optimistic, not conducive to critically ill pregnant women’s rescue. Conclusion The distribution of midwifery institutions in Shanxi Province is not balanced according to the geographical location. Obstetric beds still need to be further expanded. Continue to consolidate the achievements made in the development of obstetrics and to change the traditional concepts of prenatal care. The focus of perinatal health care will gradually increase from the second and third trimester of pregnancy Advance to early pregnancy and even pre-pregnancy, and effectively reduce the incidence of obstetric critically ill; promote natural childbirth and reduce the rate of cesarean section; strengthen obstetric and emergency services, improve the technical level of obstetric medical staff, improve the construction of hospitals at all levels of rescue equipment ; Establish and improve obstetric quality management system, unified manuals and statistics of obstetrics work; strengthen hospital network information communication.