上海市母婴安全实践与成效

Practices and effects of safe motherhood in Shanghai

文章总结了上海市母婴安全管理的主要经验和成效,为优化上海市母婴安全核心指标和进一步推广经验提供依据。通过开展系列针对性举措,如"全覆盖孕产妇保健管理""孕产妇风险筛查评估预警与分类管理""危重孕产妇救治网络建设"等,构筑母婴安全保障网。经过体系建设与项目实施,2017年上海市孕产妇死亡率降低至3.01/10万,婴儿死亡率为3.71‰;推进了上海市妇幼健康管理工作规范与技术指南不断优化完善;促进了对各级各类专业人员培训,以提升规范服务与管理能力;推动了健康教育健康促进的不断优化,提高了孕产妇自我保健意识与能力,上海市母婴安全核心指标(孕产妇死亡率、婴儿死亡率)持续稳定下降,达到发达国家或地区先进水平。

To summarize the main experience with practices and effects of safe motherhood management in Shanghai,and provide a basis for optimizing the core indicators and further popularizing the experience.A safe motherhood network was built through a series of targeted measures,such as'full coverage of maternal health care management''maternal risk screening,assessment,early warning and classified management''network construction of maternal near miss treatment',etc.The maternal mortality rate reduced to 3.01 per 100 000,and the infant mortality rate was 3.71‰in Shanghai in 2017.It has promoted the continuous optimization and improvement of city-wide norms and technical guidelines for women and children′s health management,and all kinds of professionals at different levels have been trained to improve the ability of standardized service and management.In addition,it has optimized health education and improved maternal self-care awareness and ability.The effects of a series of safe motherhood management measures on optimization of core indicators were significant.Safe motherhood core indexes in Shanghai decrease steadily,which reaches the advanced level in developed countries or regions.