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目的探讨基层孕产妇急救网络在降低孕产妇死亡率中的作用和效果评价指标。方法在基层公共卫生体系中建立孕产妇保健基础服务与危重孕产妇急救网络两条线齐举的服务模式,形成了覆盖市、县、乡、村四级的“纵向到底”和卫生行政、医疗保健机构、计生等部门及全社会的“横向到边”的危重孕产妇急救体系。采取集中高危筛查法,提高了筛查质量和高危检出率;建立了危重孕产妇救治效果评价体系。结果项目的实施,使全市孕产妇死亡率逐年稳步下降,由2004年的28.79/10万下降到2007年的14.96/10万。结论基层危重孕产妇急救网络的建立,对降低孕产妇死亡率有明显效果。
Objective To explore the role of grass-roots maternal emergency network in reducing maternal mortality and evaluate its effect. Methods The service model of two lines of basic maternal health care and critical maternal emergency network was established in the public health system at the grassroots level to form the “vertical to the end” covering the four levels of cities, counties, townships and villages and the health administration , Health care institutions, family planning and other departments and the whole society “horizontal to side ” critical maternal emergency system. To focus on high-risk screening method to improve screening quality and high-risk detection rate; established critically ill maternal treatment effect evaluation system. Results The implementation of the project made the maternal mortality rate drop steadily year by year from 28.79 / 100000 in 2004 to 14.96 / 100000 in 2007. Conclusions The establishment of a grassroots emergency maternal emergency network has a significant effect on reducing maternal mortality.