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目的:探讨《全覆盖孕产期系统保健管理》对孕产妇死亡、围产儿死亡、孕产妇系统管理的影响。方法:开展全社会孕情排摸提高早孕建册率、评估孕期妊娠风险加强重点孕妇管理、设立危重抢救中心提高抢救技能与设立抢救“绿色”通道积极应对危重抢救、政府经济支持设立外来孕产妇住院分娩点及免费产后访视、开展孕产期全程健康教育等方法。结果:评估项目前后(2008年、2011年)非本市孕产妇的系统管理率、早孕建册率、产前检查(产检)≥5次率、产后访视率、围产儿死亡率均有明显改变,经χ2检验,差异都具有统计学意义(P<0.05)。结论:项目对降低孕产妇死亡率、围产儿死亡率效果明显,对提高孕产妇系统管理率有一定的作用。
Objective: To investigate the impact of “full coverage of maternal health management” on maternal mortality, perinatal mortality and maternal system management. Methods: To carry out the whole society pregnant women to improve early pregnant pregnancy rate set up to assess the risk of pregnancy during pregnancy to strengthen the management of key pregnant women, the establishment of critical rescue center to improve rescue skills and the establishment of rescue “green” channel actively respond to the critical rescue, the government set up foreign economic support Maternal hospital delivery point and postpartum free visits, to carry out full health education during pregnancy and other methods. Results: Before and after the evaluation of the project (2008, 2011) non-pregnant women in the city’s system management rate, early pregnancy rate, prenatal care (childbirth) ≥ 5 times the rate of postpartum visits, perinatal mortality were significantly Change, by χ2 test, the difference was statistically significant (P <0.05). Conclusion: The project has obvious effect on reducing maternal mortality rate and perinatal mortality rate, and plays a certain role in improving maternal system management rate.