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目的通过对2010-2015年兰州市孕产妇保健和健康状况进行分析,了解兰州市孕产妇保健服务现状,为兰州市适应“全面两孩政策”新形势提供有效保障。方法对2010-2015年兰州市孕产妇保健和健康情况年报表进行整理及统计学处理。结果孕产妇保健指标逐年提升并保持较高水平,孕产妇死亡率明显降低;产前筛查率、产前诊断率明显高于全省同期水平;艾滋病、梅毒检测优于全省平均水平;孕产妇保健中期指标较好地完成了《两纲》及《两规划》终期目标。结论政府部门高度重视是新形势下孕产妇保健的重要支撑;加强区级保健服务能力是新形势下提高孕产妇保健整体水平的关键环节;改善产前诊断费用负担方式是新形势下预防出生缺陷的有效措施;政府干预是新形势下实现儿童“零艾滋”的重要保障。
Objective To analyze the status of maternal health and health in Lanzhou from 2010 to 2015 so as to understand the status quo of maternal health services in Lanzhou and provide effective guarantee for Lanzhou to adapt to the new situation of “Two-child Policy”. Methods The 2010-2015 annual report on maternal health and health in Lanzhou was collated and statistically processed. Results Maternal health indicators increased year by year and maintained a high level, maternal mortality decreased significantly; prenatal screening rate, prenatal diagnosis rate was significantly higher than the same period in the province; AIDS, syphilis detection superior to the provincial average; pregnancy Mid-term indicators of maternal health better completed the “two programs” and “two plans” the final target. Conclusions Government departments attach great importance to maternal health care in the new situation. Strengthening district-level health care services is a key link in improving the overall level of maternal health care in the new situation. Improving the way of prenatal diagnosis burden is to prevent birth defects in the new situation Effective measures; government intervention under the new situation is an important guarantee for children “zero AIDS ”.