农村地区县妇幼保健院助产服务现状及优势分析

目的:调查农村地区不同类别助产机构产科服务提供情况及服务能力,对县妇幼保健院助产服务现状和优势进行分析。方法:在全国随机抽取44个地市全部助产服务机构2010年产科服务情况进行问卷调查,重点对农村地区(县和县级市)中不同类型助产机构进行分析。结果:农村助产服务机构中县妇幼保健院占6.5%,县妇幼保健院产科床位数占辖区产科总床位数的18.1%,分娩数量占辖区分娩量的42.9%,平均每个县妇幼保健院年分娩为1 259人,高于县级综合性医院和其他医疗机构。县妇幼保健院中能提供综合产科和综合新生儿科服务的比例最高分别为85.3%、61.9%,高于县级综合性医院83.1%、59.4%,并明显高于其他医疗机构32.4%、19.3%。结论:县妇幼保健院是农村地区助产服务的主要力量之一,与其他助产机构相比,县妇幼保健院在助产服务提供数量和能力方面都具有一定优势。应进一步加强对妇幼保健机构的规范化建设,以保证其职能的履行。

Analysis on current situation and advantages of midwifery service in maternal and child health care hospital at county level in rural area

Objective:To investigate the obstetrical service providing status and service ability of different types of midwifery institutions in rural area,and analyze the current situation and advantages of midwifery service in county maternal and child health care hospitals.Methods:The whole midwifery institutions in 44 cities were randomly selected,the obstetrical service statuses of the midwifery institutions in 2010 were investigated by a questionnaire,different types of midwifery institutions in rural area(counties and county-level cities) were analyzed.Results:Among the midwifery service institutions in rural area,county maternal and child health care hospitals accounted for 6.5%,the number of beds in obstetrical departments of county maternal and child health care hospitals accounted for 18.1% of the total number of beds in obstetrical departments of county maternal and child health care hospitals in areas under administration,the number of delivery in obstetrical departments of county maternal and child health care hospitals accounted for 42.9 % of the total number of delivery in obstetrical departments of county maternal and child health care hospitals in areas under administration,the mean number of delivery in each maternal and child health care hospital was 1 259,which was higher than those in general hospitals at county level and other medical institutions.The highest proportions of providing obstetrical and comprehensively neonatal departments services were 85.3% and 61.9% in county maternal and child health care hospitals,83.1% and 59.4% in general hospitals at county level,32.4% and 19.3% in other medical institutions,respectively,the highest proportions of providing obstetrical and comprehensively neonatal departments services in county maternal and child health care hospitals were higher than those in general hospitals at county level and significantly higher than those in other medical institutions.Conclusion:County maternal and child health care hospitals are main force of midwifery service in rural area,compared with other midwifery institutions,county maternal and child health care hospitals have a certain advantages in providing number and ability of midwifery service.Standardization construction of maternal and child health care institutions should be further strengthened to ensure the performance of the functions.