母婴结合干预管理的实践与分析

为降低孕产妇、婴儿死亡率 ,确保母婴安全 ,1996～ 2 0 0 0年海淀区采取了母婴管理结合、死亡评审、助产评估、产时、产后服务、更新服务理念等综合管理措施 ,使“九五”期间孕产妇死亡率和婴儿死亡率分别控制在10 .86 / 10万和 6 .4 3‰以内 ,有力地保护了母婴健康。虽然“九五”期间孕产妇、婴儿死亡率明显降低 ,但间接和直接产科死因及可避免的早期新生儿死亡均存在 ,说明孕产妇系统管理、产科质量、儿童急救水平均有待提高

Practice and analysis of intervene management by combining mother and infant

In order to reduce the mortality of the pregnatnt and lying in women and infants, some management measures such as combining mother and infant management, death evaluating, midwifery evaluation, service in birth process and puerperal service. Renewal of service idea, have been taken in Haidian district from 1996 to 2000. The mortality of the pregnant and lying in women and infants have been controlled under 10.86/100 000 and 6.43‰ from 1996 to 2000. But there are also some direct and indirect obstetric death factions and early neonatal death that can be avoided now. It is said that the maternal system management and the obstetric quality and the level of children first aid should be raised in the future.