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目的:调查2009年库车县孕产妇住院分娩情况,分析产科运行状况和服务能力,为缓解孕产妇住院分娩困难提供科学依据和解决方法。方法:采用流行病学回顾性调查方法收集库车县2009年设产科的医疗机构孕产妇住院分娩统计报表并进行现场调查与复核,录入Excel进行统计分析。结果:2009年库车县住院分娩率为98.46%,孕产妇死亡率为56.04/10万,婴儿死亡率为15.41‰,新生儿死亡率为10.36‰,5岁以下儿童死亡率为21.85‰。结论:库车县县直医院确实存在孕产妇住院分娩困难的问题,孕产妇死亡率和婴儿死亡率居阿克苏地区首位,作为阿克苏地区的经济强县,应进一步重视妇女儿童健康安全,新建妇幼保健院;同时,应加强医疗机构产科建设,解决产科床位不足、技术力量薄弱等问题;加强业务技术培训,提高产儿科服务能力和急救水平,保证危重孕产妇“绿色通道”畅通无阻,确保孕产妇及时住院分娩和得到有效治疗,努力降低孕产妇和婴儿死亡率。
Objective: To investigate the maternal hospital delivery in Kuche County in 2009, to analyze the obstetric operating conditions and service capabilities, and to provide scientific basis and solution for alleviating the maternal maternity discharge difficulties. Methods: A retrospective epidemiological survey method was used to collect maternal maternity and childbirth statistics in medical institutions of Kuche County in 2009 and carry out on-the-spot investigation and review, and input Excel for statistical analysis. Results: In Kuqa County in 2009, the hospital delivery rate was 98.46%, the maternal mortality rate was 56.04 / 100,000, the infant mortality rate was 15.41%, the neonatal mortality rate was 10.36%, and the mortality rate for children under 5 years old was 21.85%. Conclusion: Kuqa County Hospital does exist the problem of maternity hospital delivery difficulties, maternal and infant mortality rate ranks first in Aksu region, as Aksu strong economic county, should pay more attention to women and children health and safety, the new maternal and child health Hospital; at the same time, obstetric construction of medical institutions should be strengthened to address issues such as lack of beds in obstetrics and gynecology, weakness of technical strength; strengthening of technical and technical training to increase the capacity of pediatric services and first aid to ensure the unimpeded access of critically ill pregnant women and the “green channel” Maternal timely hospital delivery and effective treatment, and efforts to reduce maternal and infant mortality.