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目的对2007-2011年度广州市白云区产科质量相关指标进行分析,客观地反映产科业务水平、学科发展状况,为提高产科服务质量提供依据。方法对2007-2011年度广州市白云区产科质量报表相关指标进行动态分析。结果白云区产妇总数逐年增加,以流动人口产妇数增加为主;高危产妇检出率与剖宫产率居高不下;分娩并发症逐年下降,围产儿死亡率持续降低,产后出血仍是产科的首位并发症,早产、低出生体重、出生缺陷仍是活产儿的主要问题。结论 5年来广州市白云区的产科质量在逐年提高,需要关注的问题有流动人口孕产妇的管理、剖宫产率的有效控制,高危孕产妇的孕期管理、监测,产后出血的防治,早产、低出生体重、出生缺陷的预防,死胎发生率的控制等工作。
Objective To analyze the obstetrics related quality indicators in Baiyun District of Guangzhou City from 2007 to 2011, objectively reflect the obstetric service level and subject development, and provide the basis for improving obstetric service quality. Methods The dynamic indicators of maternity quality reports in Baiyun District of Guangzhou City during 2007-2011 were analyzed. Results The total number of mothers in Baiyun District increased year by year with the increase of the number of mothers in floating population. The detection rate of high-risk mothers and the high rate of cesarean section were high. The complications of delivery decreased year by year and the perinatal mortality rate continued to decrease. The postpartum hemorrhage was still obstetric The first complications, premature birth, low birth weight, birth defects are still the major problems of live births. Conclusions The quality of obstetrics in Baiyun District of Guangzhou Municipality has been increasing year by year. The issues that need attention are the management of floating population, the effective control of cesarean section rate, the management of pregnancy during high risk pregnant women, the monitoring, the prevention and treatment of postpartum hemorrhage, Low birth weight, birth defects prevention, birth control and so on.