围产保健与儿童保健监测的方法与应用

目的：研究最佳围产保健与儿童保健的监测方法与应用，为母婴与儿童提供及时，系统的保健服务。方法：新婚妇女在婚前检查时建立围产保健册、随后开始月经监测，确定早孕后，定期作产前复查等监测。直到产后42d为止；新生儿应在出生42d内建立儿童保健册，然后根据监测对象的年龄 常规体检的原则，完成相应年龄段的询问，体检、实验室检查与评价。监测全程均有质量控制措施，所有的监测结果均录入计算机。实现计算机化管理。结果：该监测系统已经在我国的32个县（市）中实施，覆盖地区的总人口超过2千万，从1993年至,围产保健监测系统已成地连续运转了8年，儿童保健监测系统已成功地连续运转了4年。结论：该围产保健与儿童保健监监适合我国,国情，运转顺利，对促进和提高当地的围产保健与儿童保健工作水平，提高我国人口素质将发挥重要作用。

Study on the optimal perinatal health care and child health care surveillance systems

Objectives To study the establish an optimal perinatal health care (PHC) surveillance system and an child health care (CHC) surveillance system in China, that can provide better health care services for women and children. Methods All women receiving marital check ups are issued PHC booklets and then their menstrual dates are recorded regularly. If a woman is confirmed to be pregnant, she will receive her first prenatal exam. Subsequent prenatal exams and visits will be followed and recorded accordingly. CHC data will be collected regularly during the provision of routine child health care services. Results Surveillance systems have been set up in 32 project counties/cities in China, comprising more than 20 million people. The surveillance systems have smoothly been conducted for eight years since 1993. Conclusion The surveillance systems have been proved to be adaptable under China's context. Both PHC and CHC systems seemed to be helpful in improving the health care services as well as the health condition of mothers and children in the areas.