摘要
目的:了解北京市东城区孕产妇系统保健管理工作状况,为改善孕产妇系统保健工作提供依据。方法:利用北京市妇幼保健网络信息系统,收集2017—2021年北京市东城区“孕产妇保健和健康情况年报表”中相关数据,并进行统计学分析。结果:2017—2021年北京市东城区孕产妇早孕建册率为94.14%、孕早期检查率为99.86%、住院分娩率为100.00%、7天内产后访视率为94.89%、孕产妇系统管理率为95.23%。其中,2017—2021年早孕建册率呈逐年下降趋势,差异有统计学意义(χ^(2)=49.408,P<0.05)。2017—2021年北京市东城区孕产妇死亡人数为1人,死亡率为4.17/10万;围产儿死亡人数为104人,死亡率为2.51‰。除2019年外,2017—2021年东城区围产儿主要死因顺位排名第1位的均是出生缺陷,且各年占比呈逐年升高的趋势,2021年占比达到最高,为61.90%。2017—2021年东城区高危孕产妇发生率从2017年的66.42%上升到2021年的82.20%,呈逐年上升趋势,差异有统计学意义(χ^(2)=121.083,P<0.05);平均高危产妇管理率为99.81%;高危产妇住院分娩率达100.00%。结论:北京市东城区应强化孕产妇系统保健管理工作,加强高危孕产妇管理,从而继续降低孕产妇及围产儿死亡率,保障母婴健康,提高出生人口素质。
OBJECTIVE To analyze the annual data of maternal health care and health status in Dongcheng district of Beijing from 2017 to 2021, to understand the status of systematic health care management for pregnant women, and to provide scientific basis for improving systematic health care for pregnant women. METHODS The Beijing Maternal and Child Health Care Network Information system was used to collect the relevant data in the Annual Report of Maternal Health Care and Health Situation in Dongcheng district of Beijing from 2017 to 2021, and conduct statistical analysis. RESULTS From 2017 to 2021, the rates of related indicators of maternal health management in Dongcheng district were as follows: early pregnancy registration rate 94.14%, early pregnancy examination rate 99.86%, hospital delivery rate 100%, postpartum visit rate within 7 days 94.89%, and maternal system management rate 95.23%. Among them, the rate of early pregnancy registration and early pregnancy examination showed a downward trend, and the difference was statistically significant( χ^(2)=49.408, P<0.05). From 2017 to 2021, there was one maternal death, with a mortality rate of 4.17 per 100,000, lower than the target of 11 per 100,000 in Beijing’s 13th Five-Year Plan for Women’s Development. There were 104 perinatal deaths, with a mortality rate of 2.51‰. The top three causes of perinatal deaths were birth defects,umbilical cord placenta factors and fetal diseases. The proportion of perinatal deaths caused by birth defects was the highest, reaching a peak of 61.90% in 2021. The incidence rate of high-risk pregnant women had been increasing year by year, and the management rate of high-risk pregnant women was 99.81%, and the hospital delivery rate of high-risk pregnant women had reached 100%.CONCLUSION Dongcheng District should strengthen the management of maternal health care system, strengthen the management of high-risk pregnant women, so as to continue to reduce maternal and perinatal mortality, and protect maternal and infant health, improve t
作者
石佳立
叶家林
SHI Jia-li;YE Jia-lin(The Maternal and Child Health Care Family Planning Service Center of Dongcheng in Beijing,Beijing,100007,China)
出处
《中国初级卫生保健》
2022年第10期69-72,共4页
Chinese Primary Health Care
关键词
孕产妇
围产儿
系统保健管理
maternal
perinatal
systematic health management
