大同市母婴安全保障工作结果分析及干预措施

目的:落实山西省大同市母婴安全保障工作,了解高危孕产妇的发生情况,达到降低孕产妇死亡率的目的。方法:根据山西省卫生健康委员会2017年发布的《山西省加强母婴安全保障工作实施方案》,查阅2018—2019年山西省大同市母婴安全保障工作统计报表以及孕产妇死亡评审资料,分析母婴安全保障工作结果。将妊娠风险评估为"橙色"以上的较高风险孕产妇定义为"高危"孕产妇。结果:2018年高危孕产妇1 477人,实施专案管理618人,救治危重孕产妇494人,孕产妇死亡4人;2019年高危孕产妇1 487人,实施专案管理1 427人,救治危重孕产妇524人,孕产妇死亡3人。2018年活产数29411人,孕产妇死亡率为13.6/10万,2019年活产数是31 890人,孕产妇死亡率为9.4/10万。结论:落实国家母婴安全5项核心制度,做好妊娠风险评估和专案管理,提高医疗机构危重孕产妇的救治能力,可降低孕产妇死亡率。

Analysis and Intervention Measures of Maternal and Child Safety Guarantee Work in Datong City

OBJECTIVE To implement the work of ensuring the safety of mothers and babies,to understand the occurrence of high-risk pregnant women,and achieve the goal of reducing maternal mortality. METHODS According to the Implementation Plan for Strengthening Maternal and Child Safety Guarantee of Shanxi Province 2017 issued by Shanxi Provincial Health Commission, consult the statistics report of maternal and child safety guarantee work from 2018 to 2019 and the evaluation data of maternal deaths,and analyze the safety guarantee of mother and child Results of work. Pregnant women whose pregnancy risk was assessed as higher than "orange" are defined as "high-risk" women. RESULTS In 2018,there were 1 477 high-risk pregnant and lying-in women,618 were managed by special cases,494 critically-ill pregnant and lying-in women were treated,and 4 cases of maternal deaths;in 2019,there were 1 487 high-risk pregnant and lying-in women,1 427 were managed by special cases,and 524 critically-ill pregnant and lying-in women were treated. There were 3 maternal deaths. In 2018,the number of live births was 29 411,and the maternal mortality rate was 13.6/100 000. In 2019, the number of live births was 31 890,and the maternal mortality rate was 9.4/100 000. CONCLUSION Implementing the five core national maternal and child safety systems, doing a good job in pregnancy risk assessment and project management, and improving the treatment capacity of critically ill pregnant women can reduce maternal mortality.