武汉市洪山区2006~2010年产科质量情况分析(1)
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[摘要] 目的：对洪山区2006~2010年产科质量进行分析研究，寻找目前工作的差距，明确今后产科质量管理的重点，争取降低剖宫产率，降低孕产妇及围生儿的死亡率，为制定有效的干预措施、提高产科质量提供客观依据。方法：采用回顾性研究方法，对2006~2010年洪山区各助产技术服务机构共45 564例产妇的接生情况报表进行统计分析。结果：2006~2010年武汉市洪山区剖宫产率等人为干预分娩方式上升，孕产妇死亡率和围生儿死亡率得到了有效地控制。城乡孕产妇死亡率，差异有统计学意义(χ2=5.53，P<0.05)，城乡孕妇剖宫产率，差异有高度统计学意义(χ2=16.98，P<0.01)。结论：加强高危妊娠管理，降低剖宫产率，加强基层助产技术服务机构的产科质量建设，加大健康教育的宣传力度，是提高产科质量、保障母婴安全的主要干预措施。
[关键词] 产科质量；孕产妇死亡率；围生儿死亡率；妇幼保健
[中图分类号] R173 [文献标识码] C [文章编号] 1673-7210(2011)11(a)-160-03
Annual quality analysis of obstetrics department of Hongshan district in Wuhan city from 2006 to 2010
YANG Huan
Guidance Department of Basic Level, Maternity and Child Health-care Station of Hongshan District in Wuhan City, Hubei Province, Wuhan 430073, China
[Abstract] Objective: To analyze the obstetrics department quality of Hongshan district from 2006 to 2010, look for gaps in current work, make clear focus in the future management of obstetric department quality, strive for the lower rate of cesarean section, reduce the mortality of pregnant woman and perinatal infant, in order to provide objective basis for formulating effective preventive measures and enhancing the quality of obstetrics department. Methods: A retrospective study method was adopted. Delivery situation reports of 45 564 cases of puerpera in Hongshan district of midwifery services from 2006 to 2010 were statistical analyzed. Results: From 2006 to 2010, in Hongshan district of Wuhan city human intervention of delivery mode such as the rate of cesarean section increased, and the mortality rates of pregnant woman and perinatal infant had been effectively controlled. Compared the maternal mortality rate between urban with rural, the difference was significant (χ2=5.53, P<0.05). Compared the cesarean section rate of pregnant woman between urban with rural, the difference was significant (χ2=16.98, P<0.01). Conclusion: Strengthening the high-risk pregnancy management, reducing the cesarean section rate, strengthening quality constructed of primary obstetric midwifery service, increasing the publicity efforts of health education are the major interventions to improve the quality of obstetrics department and guarantee safety of maternal and child ......
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