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目的了解深圳市福田区孕产妇系统管理情况的变化趋势,寻找工作中的薄弱环节,为制定更有效的保健措施提供依据。方法对1998~2007年的孕产妇系统管理资料进行回顾性分析。结果孕产妇系统管理率、早孕建册率、产前检查率、≥8次产前检查率、剖宫产率等指标前后5年比较,常住人口后5年明显高于前5年;户籍类型比较,常住人口明显高于流动人口,差异有极显著性(P值均<0.001);孕产妇死亡率前5年明显高于后5年,流动人口明显高于常住人口,差异有极显著性(P值均<0.001)。结论常住人口产前保健的各项指标呈上升趋势,加强流动人口的孕产期系统保健特别是孕早、中期保健是工作的重点和难点,探索流动人口孕产妇的管理和资助模式是摆在政府和医务人员面前的重要课题。
Objective To understand the trend of maternal system management in Futian District, Shenzhen, to find the weak links in the work and provide the basis for more effective health care measures. Methods A retrospective analysis of maternal systematic management data from 1998 to 2007 was conducted. Results Compared with the 5 years before and after the index of maternal system management rate, early pregnancy rate, prenatal rate, ≥8 prenatal rate and cesarean rate, the resident population was significantly higher than the first 5 years after 5 years; Compared with the floating population, the resident population was significantly higher than that of the floating population (P <0.001). The maternal mortality rate in the first 5 years was significantly higher than that in the latter 5 years. The floating population was significantly higher than that of the resident population (P <0.001). Conclusions The indicators of prenatal care for permanent residents are on the rise. Strengthening the maternal and systemic health care system for migrants, especially early pregnancy and mid-term care, is the key and difficult point of work. To explore the mode of management and funding for migrant women with maternal mortality is the Government and medical personnel before an important issue.