天津市孕产妇保健系统管理效果分析

Effectiveness analysis for systematic management of pregnant and parturient women care in Tianjin city

天津市妇女保健所自1975年建所以来,管理制度不断完善,建立健全了一套较完整的全市孕产妇保健系统管理网络.使孕产妇死亡有显著下降,几年均波动在30/10万左右;围产儿死亡率也稳定在15‰左右.其他如子宫破裂、子痫、产褥感染、产后中暑、新生儿破伤风等的发生率均降到卫生部制定的甲类地区指标之下.然而在医学模式转变,群众卫生保健观念更新的今天,保健管理仍需加强和完善. 一、孕产妇系统管理和高危孕妇筛查 (一)

A relatively perfected systematic nanagement networks for pregnant and parturient women care have been set up in Tianjin city. In this paper pregnant and parturient women' s death rate,perinatal death rate,and death order in recent 10 years are reviewed. Among the results,for in stance, pregnant and parturient women's death rate has been decreased from 37 per hundred thousands in 1978 to 34 per hundred thousands in 1990. In order to further lower the death rates mentioned above, in authors' opinion, both technological and management countermeasures should be implemented.