Impact of Antimicrobial Stewardship Programs on Antibiotic Use and Drug Resistance:Analysis of Data from Maternal and Child Health Care Hospitals in Hubei Province,China

ObjectiveTo evaluate the impact of Antimicrobial Stewardship Programs(ASPs)on antibiotic use and drug resistance.MethodsThis was a retrospective,multicenter,management intervention study.The data from 85 maternity hospitals(maternal and child health care hospitals)in Hubei province from 2012 to 2019 were collected.The indicators related to antimicrobial drug use included the utilization rate of different grades of antimicrobial drugs,the intensity of antimicrobial agent use,the rational use of prophylactic antimicrobial agents before class I surgical incision,and pathogenic detection and consultation rates before antimicrobial drug use.ResultsSince the implementation,the purchase of antimicrobial agents in hospitals has been maintained within the prescribed range,and the defined daily dose system(DDDs)of antimicrobial agents has been reduced,prophylactic use and accurate treatment of antimicrobial agents related to class I surgical incision have been more reasonable.With the implementation of ASPs,the detection rate of imipenem-resistant Acinetobacter baumannii,cefotaxime-resistant Escherichia coli,and methicillin-resistant Staphylococcus aureus has been decreased in China from national bacterial resistance surveillance data.ConclusionASPs have positive effects on antibiotic use and drug resistance in 85 maternity hospitals(maternal and child health care hospitals).

Women’s knowledge and preferences for midwife’s role within the range of maternal care professionals in Makkah, Saudi Arabia

Background:The midwife plays a critical role in health counselling and education,not just for women but also for their families and communities.At the current time,with the growth of the midwifery workforce globally,there is still a lack of understanding regarding the full scope and role of the midwife.Aim:To evaluate the current situation of knowledge of midwives’role among women in Makkah.In addition,this study identifies the effect of women’s knowledge on their preferences for receiving maternity care from health professionals.Methods:This study employed a descriptive quantitative cross-sectional method.The total resultant sample size(N)equalled 379 global respondents,of which 306,with a response rate=of 80.73%completed the entire survey as requested.An electronic questionnaire in the Arabic language was used in this study.Results:Results revealed that most women had incorrect knowledge regarding three aspects of the midwives’roles during pregnancy 53.9%,labour 52.8%and childbirth 61.9%.Also,results presented that most women preferred obstetricians to follow up on an uncomplicated pregnancy,labour,childbirth,and maternity care 69.6%,53.9%,64.7%and 46.1%,respectively.The study found that the women’s knowledge about midwives’roles affects their preferences for healthcare professionals in receiving maternity care(P<0.05).Conclusion:Responses showed that most participants had no experience and had negative views about midwives’roles.Thus,it would affect their health professionals’preferences for receiving maternity care.Therefore,midwifery services and maternity care professionals should prioritize educating women about midwives’competencies in maternity care.

Mental health of mothers and their premature infants for the prevention of child abuse and maltreatment

Birth of preterm infants is a stressful event for their parents, particularly for mothers. The mothers of preterm infants often feel hard to relate their infants because they have separated since their first days after delivery. Long term separation and less attractive, less responsive appearance of preterm infants also make it difficult to build mother-child relationships. In addition, the mothers of preterm infants are likely to have mood disorders such as depression, anxiety, and stress-related disorders. The mothers’ psychiatric illnesses affect the psychosocial development of preterm infants and are often regarded as a risk factor for child abuse and maltreatment in later life. Child abuse and maltreatment are also prevalent among preterm infants than the full term infants. Intervention from the early period of preterm birth is an important issue for both preterm infants and their mothers. Medical and co-medical professionals should pay attention to developmental outcome of preterm as well as psychosocial conditions of their mothers for the improvement of their mental health.

Women's awareness of the role of midwifes and their preference for health professionals for maternity care: a systematic review

Objective:Several studies have shown that women are more satisfied with midwife-led care.However,their awareness regarding the midwives’roles was inadequate.The effect of the women’s awareness on their preferences for maternity care from health professionals has not been understood.To identify research findings presenting women’s awareness of midwives’roles and preferences for receiving maternity care from health professionals.Methods:The systematic literature review used various electronic search engines,including SCOPUS,PubMed,ScienceDirect,and Cochrane Library.Also,other grey literature sources,including Google Scholar,were utilized to identify articles.The search included only English language articles published between 2017-2021.Results:This search provided 20 studies that fulfil the inclusion criteria and are relevant to the Population,Intervention,Comparison,and Outcomes question.The knowledge of midwives’role among the public is well studied in the literature,and few papers(4 studies)focused on women’s perceptions.The review of existing literature indicated the midwifery workforce in Arab countries like Saudi Arabia,the impact of midwives’role on maternal and child health outcomes,women’s experiences regarding midwife-led care,women’s knowledge and perception regarding the role of the midwife in maternal care,and the womens’preference for midwifes’role within the range of maternal care professionals.Conclusion:The review found a lack of awareness and knowledge among the public about the midwife’s role,particularly among women.According to evidence,women’s preferences for choosing health professionals for maternity care primarily depend on being informed about their care,being given care options,and the health professionals’comprehension of their particular care needs.

Evidence on result-based financing in maternal and child health in low-and middle-income countries:a systematic review

Introduction:Result-Based Financing(RBF)is an umbrella term for financial mechanisms that link incentives to outputs or outcomes.International development agencies are promoting RBF as a viable financing approach for the realization of universal health coverage,with numerous pilot trials,particularly in low-and middle-income countries(LMICs).There is limited synthesized evidence on the performance of these mechanisms and the reasons for the lack of RBF institutionalization.This study aims to review the evidence of RBF schemes that have been scaled or institutionalized at a national level,focusing on maternal,newborn,and child health(MNCH)programming in LMICs.Methods:A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines.The authors identified and reviewed country-level RBF evaluation reports for the period between January 2000 and June 2019.Data were extracted from both published and gray literature on RBF application in MNCH using a predesigned matrix.The matrix headers included country of application;program setting;coverage and duration;evaluation design and methods;outcome measures;and key findings.A content thematic analysis approach was used to synthesize the evidence and emerging issues.Results:The review identified 13 reports from 11 countries,predominantly from Sub-Saharan Africa.Performancebased financing was the most common form of RBF initiatives.The majority of evaluation designs were randomized trials.The evaluations focused on outputs,such as coverage and service utilization,rather than outcomes.RBF schemes in all 11 countries expanded their scope,either geographically or accordingly in terms of performance indicators.Furthermore,only three studies conducted a cost-effectiveness analysis,and only two included a discussion on RBF’s sustainability.Only three countries have institutionalized RBF into their national policy.On the basis of the experience of these three countries,the common enabling factors for institutionalization seem to be political will,domestic fund mobilization,and the incorporation of demand-side RBF tools.Conclusion:RBF evidence is still growing,partial,and inconclusive.This limited evidence may be one of the reasons why many countries are reluctant to institutionalize RBF.Additional research is needed,particularly regarding costeffectiveness,affordability,and sustainability of RBF programs.

Assessing the influence of digital technologies on antenatal care visits in Zimbabwe:insights from 2019 Zimbabwe Multiple Indicator Cluster Survey

Background and objective:To provide good health and well-being as established by the Sustainable Development Goal(SDG)3,access to digital technologies can act as conduits to achieve such progress in a population.As guided by the World Health Organization,antenatal care(ANC)attendance is one of the measures promoted to curtail the global health burden of maternal and infant mortality.ANC services are seldom utilized to their full potential in Zimbabwe.This study explores if any of the women's digital technology characteristics were associated with antenatal care visits.Methods:The study analyzed population-based cross-sectional data with a subsample of 1932 women aged 15-49 years from the 2019 Zimbabwe Multiple Indicator Cluster Survey.Test of associations with chi-square test,bivariate,and multivariate multinomial logistic regression analyses were used to examine the predictors of adequate(4-7)and optimal(≥8)ANC visits relative to undesirable(1-3)antenatal care visits among women who had given births 2 years before the survey.Results:The results indicate that 64.5%(1246/1932)of the women attained adequate ANC while about 9.8%(189/1932)attained optimal ANC.Reading a newspaper/magazine at least once a week(odds ratio[OR] 1.73,β'=0.551,t=2.030,P=0.043)and watching television at least once a week(OR 1.72,β=0.545,t=2.454,P=0.015),listening to the radio less than once a week(OR 1.28,β'=0.247,t=1.750,P=0.080),and owning a mobile phone(OR 1.48,β'=0.394,t=3.020,P=0.003)were positively associated with adequate ANC.Optimal ANC was significantly associated with women being able to read a newspaper at least once a week(OR 2.93,β'=1.074,t=3.120,P=0.002),listen to the radio less than 0nce a week(OR 2.07,p'=0.73,t=2.700,P=0.007)and have ownership of a mobile phone(OR 1.88,β'=0.631,t=2.620,P=0.009).Conclusion:Access to a newspaper,radio,television,and mobile phone were important predictors of a woman's ability to achieve her ANC attendance.Policies to improve the knowledge of ANC packages can be facilitated using digital technology to achieve adequate and preferably optimal ANC in Zimbabwe.It is important to improve digital infrastructure to support digital technologies in providing ANC services.

Study on the Lactation Volume and Related Factors of Mother’s Milk in Puerperal Women Separated from Infant

Objective: To investigate the lactation volume and milk secretion of mother’s milk in puerperal women separated from mother and infant, and to study the related influencing factors. Methods: Selected February 2015-February 2020 in Foshan women and children’s hospital 420 cases of maternal as the research object, using lactation related factors comprehensive questionnaire of maternal and infant separation of puerperal women for continuous determination of amount of lactation, and 1 - 7 days and 8 to 14 days postpartum lactation quantity and Pearson correlation analysis, using multiple linear regression analysis to affect maternal separation of puerperal women in lactation of breast volume related factors were analyzed. Results: The lactation volume of the puerperal women was on the rise within 14 days after delivery. 14 days mammary volume ware 545.13 - 243.18 ml, postpartum lactation II period start time was (67.48 + 26.57) h. The correlation coefficient between lactation volume on day 4 and lactation volume on day 14 was 0.04 (P < 0.05). Pregnancy-induced hypertension syndrome, lactation II period start time, birth gestational age, maternal age is affecting maternal separation of the main factors of puerperal women lactation milk. Conclusion: Early maternal separation of puerperal women breast milk lactation quantity is little, lactation II later period start time, delay rate is high: in clinical nursing work, should pay attention to produce age is bigger, smaller gestational age and birth with pregnancy-induced hypertension syndrome, maternal lactation stage II startup delay, should be timely intervention of maternal and infant separation maternal management effectively, promote successful lactation and increase the amount of lactation, for clinical guidance and provides some references for the separation of puerperal women breastfeeding.

基于Android平台的母婴智能呵护系统设计

目的:基于云计算及物联网构建母婴云端智能呵护平台、设计移动智能监护终端,通过不同的模块实时显示和存储母婴的各项生理参数,并将监护数据发送给医护人员进行诊断和分析,实现孕妇和医生的远程医疗以及母婴健康信息管理。方法:在分析移动监护系统需求的基础上,评估运用Android系统的可行性;以Android SDK和Eclipse为开发平台,使用Java语言进行开发设计,通过手机、计算机及多媒体的"三网合一"技术,实现母婴信息采集、传输互联、共享、临床诊断以及疾病科学预防等信息管理。结果:测试结果表明,该系统性能稳定,操作简单,界面友好,运行情况良好。结论:本设计完成了面向母婴个体、临近社区医疗卫生和大型综合性医院集团的综合信息医疗协同平台的构建,通过互动交流模块用户可以与医生进行实时在线交流。

Maternal Anxiety 16 Months after the Great East Japan Earthquake Disaster Area: First Report

The Great East Japan Earthquake, a magnitude 9.0 quake that occurred on March 11, 2011, left more than 20,000 killed or missing and resulted in more than 400,000 people being displaced. The Fukushima Nuclear Power Plant accident released large amounts of radioactive material into the air. Among the victims of this combined disaster were many pregnant and parturient women, and this study aimed to determine post-disaster anxiety among this specific population and measures for the future. Participants were 259 women (mean age 33.02 ± 4.79 years) who gave birth around the time of the earthquake in Miyagi Prefecture, one of the disaster areas. Sixteen months after the earthquake, we administered survey questionnaires on anxiety. We transcribed questionnaire responses, coded raw data by context, and categorized these codes by commonality. After extracting subcategories of anxiety-related factors, we categorized them into more abstract concepts. Among the participants, 126 (48.6%) reported having no available professionals with whom they could consult about childrearing. Participants reported anxiety in the following 12 categories: “radiation,” “child’s physical and mental growth/development,” “recurrence of earthquake and tsunami,” “financial issues,” “childrearing environment,” “living environment,” “maternal employment,” “stigma,” “familial issues,” “maternal health,” “childrearing,” and “the future”. A beneficial way to reduce maternal anxiety in the 12 areas identified would be to develop support systems that provide continuous support for children’s mental health care needs, psychological guidance, community support for maternal empowerment, outreach for individual support, and professional consultation for mothers who have high anxiety about radioactivity.

2016—2021年某妇幼保健院早产儿医院感染影响因素分析

目的 了解早产儿医院感染现状及影响因素,为早产儿医院感染防控提供理论和实践依据。方法 采用回顾性研究方法,对2016年1月—2021年12月某院新生儿病房收治的早产儿进行调查分析,查阅病历,收集早产儿基本信息及住院期间诊疗信息。结果 共纳入早产儿3 559例,其中男1 964例,女1 595例;平均出生体重(2 108.66±631.17)g。发生医院感染109例,发病率3.06%;主要感染类型为下呼吸道感染(44.04%)、血流感染(28.44%)、胃肠道感染(14.68%);检出医院感染相关病原菌38株,其中革兰阴性菌33株(86.84%),革兰阳性菌3株,真菌2株。主要分离病原菌为产气肠杆菌(28.95%)、肺炎克雷伯菌(28.95%)。经单因素、非条件多因素logistic回归分析,羊水污染、出生体重<2 500 g、使用呼吸机、中心静脉插管是早产儿医院感染的独立危险因素(OR值分别为2.424、3.805、3.776、5.412,均P<0.05);剖宫产是早产儿医院感染的保护因素(OR=0.362,P<0.05)。结论 早产儿医院感染风险高,影响因素多,临床应引起重视,积极采取有循证依据的防控措施减少风险因素暴露,保护早产儿健康。

妇幼保健体系子宫颈癌医防一体化管理与技术服务专家共识

子宫颈癌可防可控却仍严重威胁女性健康。人乳头瘤病毒(HPV)疫苗接种、子宫颈癌筛查和早诊早治的综合干预策略是实现全球消除子宫颈癌战略目标的重要路径。目前我国已建立比较完善的妇幼保健体系,承担人群子宫颈癌防控技术服务与管理的重要职能。在妇幼保健体系内建立子宫颈癌医防一体化服务管理模式与协同机制,整合健康教育、疫苗接种、筛查、诊断与治疗、随访管理,对提高防治服务可及性,加速消除子宫颈癌的目标实现具有重要的公共卫生意义。本共识在对我国妇幼保健体系充分调研和专家研讨基础上,系统梳理妇幼保健体系在子宫颈癌防控工作中的作用、服务模式和瓶颈因素,提出构建妇幼保健机构内医防服务一体化和妇幼保健机构间医防服务全流程闭环的双路径模式,以及实现医防一体化模式的关键要素和建设原则,为推动我国妇幼保健体系子宫颈癌防治服务向连续、整合、系统转型提供指导建议。

4~7岁儿童代谢综合征有关指标之间相关模式研究

目的探究4~7岁儿童代谢综合征有关指标之间的相关模式。方法依托前期开展的孕期增补复合微量营养素预防母婴不良结局项目,在河北满城、元氏2县选取参加项目孕妇所生儿童1454名,于儿童4~7岁时测量身高、体重、腰围、血压并检测血脂和血糖。采用Pearson相关分析检验体质指数(BMI)、腰围、总胆固醇(CHO)、甘油三酯(TG)、高密度脂蛋白-胆固醇(HDL-C)、低密度脂蛋白-胆固醇(LDL-C)、空腹血糖(FPG)、收缩压和舒张压共9个指标之间的线性相关关系。参照美国心脏学会标准判定儿童中心性肥胖、高血压、高TG血症、低HDL-C血症和高血糖发生情况,采用关联分析的φ系数描述5个代谢综合征组分间的相关关系。结果儿童CHO与LDL-C相关关系强(r=0.82,P<0.001),腰围与BMI、收缩压与舒张压、CHO与HDL-C相关关系较强(r依次为0.63、0.60和0.74,P均<0.001),CHO与TG、TG与LDL-C、HDL-C与LDL-C中等强度相关(r依次为0.34、0.30和0.43,P均<0.001),其他指标之间为弱相关或无相关。儿童中心性肥胖与高血压、高TG血症、低HDL-C血症三者均呈弱相关关系(φ系数依次为0.06、0.08和0.07,P均<0.05),高血压和高TG血症呈弱相关关系(φ=0.05,P<0.05),其他代谢综合征组分间的φ系数无统计学意义。结论儿童收缩压与舒张压之间、腰围与BMI之间以及几个血脂指标彼此之间相关关系较强,包括HDL-C与CHO、LDL-C均为中等强度正相关关系,而血压、肥胖与血脂三类指标之间无明显相关,血糖与所有指标均无明显相关;儿童代谢综合征各组分间相关较弱或无相关,提示儿童代谢指标间相关模式与成人不完全相同,代谢综合征这一概念应用于儿童宜审慎。

“互联网+延续上门护理服务”对母婴健康与产妇自护能力的影响

目的探讨“互联网+延续上门护理服务”对母婴健康与产妇自护能力的影响。方法选取2022年2月至2023年2月于本院产科分娩的80名产妇作为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组给予常规护理,观察组在对照组基础上给予“互联网+延续上门护理服务”护理。比较两组的护理效果。结果观察组的乳房肿胀、母乳喂养情况优于对照组(P<0.05)。观察组产妇及新生儿的并发症总发生率均低于对照组(P<0.05)。护理后,两组的自我管理能力测定量表(ESCA)各维度评分均升高,爱丁堡产后抑郁量表(EPDS)评分均降低,且观察组优于对照组(P<0.05)。结论“互联网+延续上门护理服务”可改善产妇的心理状态,提升其自护能力,减轻乳房肿胀程度,保障母婴健康。

基于PEST-SWOT分析模型的省级妇幼保健机构科技创新发展策略

目的探讨省级妇幼保健机构科技创新发展的内外部因素并提出有效策略。方法采用PEST-SWOT分析模型从政治、经济、社会和技术四个宏观环境角度对某省级妇幼保健机构科技创新发展的优势、劣势、机会、威胁进行全面分析。结果某省级妇幼保健机构科技创新发展在政策支持、科研管理制度、科研经费投入、学科特色等方面具有优势和机会,但是在人才队伍、信息化水平、行业竞争等方面存在一定的威胁和劣势。结论妇幼保健机构科技创新发展受内部、外部多方面影响,需要牢牢把握机遇,从医教研协同、学科布局、人才队伍、信息化建设等方面全面促进科技创新发展。

北京市妇幼保健机构互联网诊疗服务影响因素的质性研究

目的针对北京市妇幼保健机构互联网诊疗服务存在问题,提出针对性建议,为促进妇幼保健机构“互联网+”医疗服务发展提供参考。方法对来自北京市10家公立妇幼保健机构的58名职能部门管理人员进行半结构化访谈与焦点小组访谈,采用Colaizzi七步法对访谈内容进行分析。结果妇幼保健机构开展互联网诊疗服务受到制度要求、组织管理、患者特征三方面因素影响。结论妇幼保健机构开展互联网诊疗服务需加大政策支持和财政投入,加强医疗服务质量控制,规范互联网诊疗流程,提高医生线上诊疗服务能力,拓展线上服务内容,培养患者线上就医意识等。

广西妇幼保健机构资源配置效率评价及提升路径研究

目的:对广西妇幼保健机构卫生资源配置效率进行研究,分析卫生资源利用过程中存在的主要问题,探讨其卫生资源配置的提升路径,为优化妇幼保健机构卫生资源配置提出可行的对策与建议。方法:从《广西卫生健康统计年鉴(2022)》中选取妇幼保健机构的投入产出指标数据,采用数据包络分析法对投入产出效率进行综合评价,并利用模糊集定性比较分析方法,结合妇幼保健机构卫生资源配置现状,从社会、政府、组织3个层面构建卫生资源配置效率的不同提升路径。结果:广西14个地级市中有6个城市卫生资源配置有效,1个城市未能同时达到技术和规模有效,7个城市显示为无效,均存在不同程度的投入冗余及产出不足问题;提高资源配置效率的路径有4条,可归结为社会环境驱动型、政府-组织驱动型。另外,抑制资源配置效率的路径有3条,归结为全面失衡型、政府-社会环境缺失型。结论:广西大部分地区妇幼保健机构卫生资源配置不能同时达到技术和规模有效,卫生资源综合效率相对较低,不同地区间存在分布差异,不同城市间的卫生资源配置优化路径也存在差异。广西妇幼保健机构卫生资源配置效率的影响因素较为复杂,建议在加强机构设施建设的同时,注重政府与社会的投入,避免投入冗余及产出不足的问题。

电子病历在被借阅与复印病案管理中的运用及归档质控影响分析

目的探讨电子病历在妇幼保健院被借阅与复印病案管理中的运用及归档质控影响分析。方法选取2020年7月—2022年8月福州市妇幼保健院病案室病历680份作为研究对象,将2020年7月—2021年7月实施传统手写病历340份纳入对照组,将2021年8月—2022年8月(2021年10月执行新系统)实施电子病历340份纳入观察组。对比不同组别的病历质量评分、病历书写缺陷率、护理人员对病历使用的便捷率。结果观察组的病案首页、入院记录、病程记录、出院记录、治疗、辅助检查、基本要求及医嘱单及总分分别为(2.70±0.46)分、(23.24±1.35)分、(32.45±2.88)分、(4.50±0.60)分、(5.20±0.50)分、(5.50±0.50)分、(8.85±1.21)分、(82.44±5.46)分;对照组分别为(2.00±0.01)分、(20.81±1.13)分、(29.54±1.84)分、(3.64±0.66)分、(3.90±0.30)分、(4.00±0.45)分、(7.76±1.25)分、(71.66±4.56)分,2组比较,观察组更高(P<0.05)。观察组的基础护理漏写、不能体现专科情况、护理记录不及时、病情评估与描述不准确、生命体征与体温单不符、与医师记录不一致等缺陷率分别为3.24%、4.12%、2.94%、2.35%、2.65%、2.06%,对照组分别为6.76%、9.41%、6.47%、5.59%、6.18%、5.00%;2组比较,观察组更低(P<0.05)。观察组的病历借阅时间(2.51±0.85)min、病案复印时间(5.24±1.89)min、首页录入时间(3.33±0.89)min,均短于对照组(6.41±1.54)min、(9.42±2.47)min、(6.66±1.63)min(P<0.05)。结论电子病历在妇幼保健院被借阅与复印病案管理中有利于提高病历质量和降低病历书写缺陷率,以及提高护理人员对病历使用的便捷。

以助产士为主导的群组式母婴保健模式构建在基层医院的应用

目的探讨以助产士为主导的群组式母婴保健模式构建在基层医院的应用。方法选择2022年8月至2023年5月在杭州市富阳区妇幼保健院常规产检并分娩的200名产妇作为研究对象,根据随机数字表法将其分为对照组和观察组,每组100名。对照组行常规护理,观察组在对照组的基础上以助产士为主导的群组式母婴保健模式进行护理,从孕12周开始进行,直到产后6周结束。比较两组产妇的分娩方式、产妇产程及新生儿情况,产后1、3、6个月母乳喂养率,干预前后对孕期理论知识掌握情况,产后2、24 h的出血量及产后1个月的妊娠合并症。结果干预后,观察组产妇自然分娩率高于对照组,而剖宫产率及会阴侧切率低于对照组,差异有统计学意义(P<0.05);观察组产妇产后1、3、6个月母乳喂养率均高于对照组,差异有统计学意义(P<0.05);干预后,观察组孕期理论知识的掌握情况评分高于对照组,差异有统计学意义(P<0.05);干预后,两组合并症例数比较,差异无统计学意义(P>0.05);观察组产后2、24 h出血量低于对照组,差异有统计学意义(P<0.05)。结论对孕妇使用以助产士为主导的群组式母婴保健模式可以明显改善其妊娠结局,值得在临床中应用。

《湖北省三级妇幼保健院评审标准(2024年版)》药事管理条款研究

目的对《湖北省三级妇幼保健院评审标准(2024年版)》(简称《2024版湖北妇幼标准》)中的药事管理条款进行研究。方法阐述《2024版湖北妇幼标准》中药事管理条款和管理细则的制定过程,同时比较其药事管理条款与《三级妇幼保健院评审标准(2016年版)》中药事管理条款的异同,分析其药事管理特有条款的制定依据,并在此基础上提出进一步改进的建议。结果与结论与《三级妇幼保健院评审标准(2016年版)》比较,《2024版湖北妇幼标准》中涉及药事管理的相同点主要体现在:应遵守的相关法律、法规、规章制度及人员要求,药品采购、储备、贮存及召回全流程管理,药品调剂与制剂管理等方面;《2024版湖北妇幼标准》特有条款主要体现在:成立儿童用药工作组,建立儿童专用药品目录,制定结余药品管理制度和超说明书用药管理等方面。药事管理特有条款的制定既符合近年来国家新发布的政策要求,又结合了妇幼保健院的特点和实际情况。但《2024版湖北妇幼标准》应在加强细节管理、强化中药合理应用管理方面进一步完善。

抗日战争战略反攻阶段晋察冀边区妇婴卫生工作述论

由于旧封建风俗及战争环境的影响,抗战时期晋察冀边区妇婴卫生水平低下,封建迷信观念盛行。抗日战争进入战略反攻阶段,晋察冀边区在妇婴卫生工作方面进行了一系列以科学破除迷信的工作,具体包括召开妇婴卫生知识宣传座谈会、举办妇婴卫生训练班等。抗日战争战略反攻阶段晋察冀边区妇婴卫生工作以科学破迷信取得了积极的历史成效,既移风易俗、破除了封建迷信,又普及了科学卫生知识,提高了妇婴卫生水平,还巩固了党群、干群关系,为抗战最终胜利奠定了坚实的群众基础。