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目的:了解北京市助产机构外分娩现状及原因,加强《出生医学证明》的规范化管理,确保数据准确上报。方法:2009年第四季度～2010年全年北京市开具助产机构外分娩《出生医学证明》共257份,查询、整理相关发证资料后,根据登记户口及分娩地点对此257份开展入户调查,填写结构式调查问卷。结果:257份成功获得资料并纳入分析的个案中,收养婴儿9例(3.80%),41例(17.30%)实为机构内分娩,机构外分娩187例(78.90%),原因依次为急产(48.66%),经济原因(18.72%),计划外妊娠(17.11%)。结论:助产机构外分娩《出生医学证明》签发仍然存在各方面不足,应针对发现问题加强管理,完善签发流程。
OBJECTIVE: To understand the current status and causes of outside labor in Beijing’s midwifery institutions and to strengthen the standardized management of “birth medical certificate” so as to ensure accurate data reporting. Methods: From the fourth quarter of 2009 to the whole year of 2010, a total of 257 copies of “Medical Certificate of Birth” were issued for delivery outside the midwifery in Beijing. After inquiring and arranging relevant supporting information, 257 enrollments were made according to the registered permanent residence and place of delivery Household survey, fill in the structured questionnaire. RESULTS: Of the 257 successful cases that received data and were included in the analysis, 9 (3.80%) were adoptive infants and 41 (17.30%) were actually intra-institutional deliveries, with 187 (78.90%) having an extra-institutional delivery due to an emergency (48.66%), economic reasons (18.72%), unplanned pregnancy (17.11%). Conclusion: There are still many deficiencies in the issuance of “medical certificate of birth” outside the midwifery. We should strengthen management and improve the issuance process in accordance with the findings.