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目的:降低宝鸡市孕产妇和婴儿死亡率,提高出生人口素质,为母亲安全和儿童优先提供保障。方法:通过狠抓产科质量管理体制建设;下发产科管理规范文本;严格执行产科建设先达标、后准入制度;加强人员培训;强化产科重点环节管理等措施,促进产科质量管理工程的实施。结果:宝鸡市孕产妇死亡率、婴儿死亡率、5岁以下儿童死亡率分别从2000年的44.97/10万、26.52‰、30.31‰降到2008年的24.41/10万、9.82‰、12.42‰。结论:实施全面产科质量管理工程,建立产科人才梯队;健全产科管理体制和急救组织;完善产科工作制度和人员职责;统一产科工作手册和各种登记;开发产科信息管理软件,建立产科信息网络等措施是提高产科质量行之有效的管理措施。
Objectives: To reduce the maternal and infant mortality rate in Baoji City and improve the quality of the birth population so as to ensure the safety of mothers and the priority of children. Methods: By obeying the obstetric quality management system construction; issuing the obstetric management code; strictly implementing obstetric construction standard and post admittance system; strengthening personnel training; strengthening the obstetrics key links management and other measures to promote the implementation of obstetric quality management project. Results: The maternal mortality rate, infant mortality rate and the mortality rate of children under 5 years old in Baoji dropped from 44.97 / 100000, 26.52 ‰ and 30.31 ‰ in 2000 to 24.41 / 100000, 9.82 ‰ and 12.42 ‰ respectively in 2008. Conclusions: The implementation of a comprehensive obstetric quality management project, the establishment of obstetric talent echelon; improve obstetric management system and first aid organizations; improve obstetric work system and personnel responsibilities; unify obstetric work manuals and various registrations; the development of obstetric information management software, the establishment of obstetrics information network Measures to improve obstetric quality and effective management measures.