摘要
目的了解全面二孩政策实施前后中山地区孕产妇分娩现状,为后续孕产妇救治决策提供参考依据。方法采用回顾性队列研究的方法,对2015年10月至2017年10政策实施前后我院19702例孕产妇分娩现状进行总结分析。结果政策实施后中山地区分娩量剧增,胎盘早剥发生率及产后出血率,子痫前期率、重度子痫前期率增多,极低出生体重儿比重明显上升,但剖宫产率无显著变化,1.7%的瘢痕子宫孕产妇分娩二胎时选择实施阴道试产。结论基层医院加强产科医疗质量的管理,优化重点高危孕产妇门诊-病房-产房的垂直专人管理,提升专业技能,实施助产医师—助产士—儿科医师联动机制。保障母婴安全。
Objective To understand delivery status of pregnant women in Zhongshan area before and after comprehensive two-child policy,and provide reference for subsequent decision-making of maternal treatment.Methods With retrospective cohort study,summarize and analyze delivery status of 19,702 pregnant women in our hospital from October 2015 to October 2017 before and after the policy.Results After the policy,delivery volume in Zhongshan area increased sharply,incidence of placental abruption and postpartum hemorrhage rate,preeclampsia rate and severe preeclampsia rate increased,and proportion of low birth weight infants increased significantly,but cesarean section rate showed no significant changes,1.7%of pregnant women with scarred uterus chose vaginal trial during delivery of second child.Conclusion Primary hospitals should strengthen management of obstetric medical quality,optimize vertical management of key high-risk maternal clinics-wards-delivery rooms,improve professional skills,and implemented midwife-midwife-pediatrician linkage mechanism,to ensure safety of mothers and infants.
作者
梁燕嫦
梁金凤
陈彦霞
郑转萍
曾丽容
甘玉杰
LIANG Yan-chang;LIANG Jin-feng;CHEN Yan-xia;ZHENG Zhuan-ping;ZENG Li-rong;GAN Yu-jie(Zhongshan City Boai Hospital,Southern Medical University,Zhongshan,Guangdong,528403)
出处
《智慧健康》
2020年第21期38-39,47,共3页
Smart Healthcare
关键词
全面二孩政策
孕产妇
分娩
Comprehensive two-child policy
Maternal
Childbirth
作者简介
梁燕嫦(1983-),女,汉族,广东中山,本科,妇产科主管护师,研究方向:妇产科产房管理及临床;梁金凤(1981-),女,汉族,广东普宁,本科,主管护师,研究方向:自由体位待产、自由体位分娩;陈彦霞(1985-),女,汉族,广东普宁,本科,主管护师,研究方向:自由体位待产、温柔分娩。
