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目的了解贫困县妇幼卫生服务现状,为改善贫困县妇幼卫生服务、实现精准脱贫提供决策依据。方法在全国832个贫困县737个妇幼保健机构开展问卷调查,分析全县医疗卫生机构孕产妇分娩情况、妇幼保健机构孕产妇服务能力情况和孕产期保健水平。结果 2014年平均每贫困县的孕产妇在县级医院分娩占55.35%,其中在县级妇幼保健机构分娩占22.23%;妇幼保健机构剖宫产人次数占分娩人次数的36.78%;高危孕产妇率为17.92%,孕产妇死亡率为17.68/10万。结论贫困县县外分娩比例大;剖宫产中非因病理产科问题占比高;中西部地区住院分娩率低;高危孕产妇和孕产妇死亡率控制较好。
Objective To understand the status quo of MCH services in poverty-stricken counties and to provide decision-making basis for improving maternal and children health services in poor counties and to achieve precision out of poverty. Methods A total of 737 MCH institutions in 832 poverty-stricken counties of China were surveyed to analyze the status of maternal delivery, the capacity of maternal and child health care institutions and the level of maternal health care in the MCH institutions. Results In 2014, the average delivery rate of pregnant women in every poor county was 55.35% in county-level hospitals, among which 22.23% was given births at the county-level MCH institutions. The number of cesarean deliveries in MCH institutions accounted for 36.78% of the number of deliveries. The high-risk pregnant women The rate was 17.92% and the maternal mortality rate was 17.68 / 100,000. Conclusion The proportion of childbirth in poor counties and counties is large. The proportion of caesarean section in non-pathogenic obstetrics accounts for a high proportion. The hospital delivery rate in central and western regions is low. The high-risk pregnant women and maternal mortality rates are well controlled.