基层医院产科管理与质量提高的探讨

Discussion on Management and Quality Improvement of Basic Level Hospital

目的探讨基层医院产科管理与质量提高效果。方法选取2012年8月—2015年4月该院收治的产妇2000例的临床资料,将其分为两组,对照组为800例,实施常规的产科管理,观察组1200例,实施优质的产科综合管理,观察两组的产科管理质量水平。结果基层医院在实施产科综合管理前的早期新生儿死亡、新生儿的重度窒息、产妇产后大出血发生率都明显高于综合管理后,且管理后的孕产妇系统保健情况、孕产妇的产前检查覆盖情况以及产后访视情况明显好于综合管理前,差异有统计学意义(P<0.05)。结论基层医院实施优质的产科综合管理,能够降低早期新生儿死亡情况、新生儿的重度窒息情况以及产妇产后大出血情况发生率,改善孕产妇系统保健情况、孕产妇的产前检查覆盖情况以及产后访视情况,提升管理质量水平,效果显著,值得临床推广。

Objective To explore the effect of the management and quality improvement in the primary hospital. Methods A total of maternal in our hospital from August 2012 to 2015 June 2000 cases of clinical data, it can be divided into two groups, 8 cases in the control group, the implementation of routine obstetric management, 12 cases in the observation group, implementation of the quality of obstetric comprehensive management, observe two groups of obstetric management quality and level. Results The primary hospitals in the implementation of integrated management of obstetric before early neonatal death, neonatal after severe asphyxia, postpartum hemorrhage incidence was significantly higher than that in the compre-hensive management and management of maternal health care, maternal antenatal examination coverage and postpartum visit was significantly better in the comprehensive management of （P〈0.05）, there is statistical significan. Conclusion Primary hospital implementation quality of obstetric comprehensive management, can so as to reduce the neonatal mortality and neonatal severe asphyxia and postpartum hemorrhage incidence, improve maternal health, maternal antenatal examination coverage and postpartum visits, to enhance the quality of management level, the effect is significant, worthy of clinical pro-motion.