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上海市实施高危妊娠管理10余年,孕产妇死亡率从1980年的30.21/10万降至1992年的28.52/10万,围产儿死亡率从1980年的15.9‰降至1992年的11.37‰。 由于医学发展,围产监护技术普及,产科合并症、并发症处理的进步,生育数下降,城市各级妇幼保健机构的职能分工亦发生相应变化。市区一级保健机构基本上只承担初查与早孕建卡,不再承担常规产前检查及接产任务;市区二、三级机构处理产科高危的能力基本接近。同时,群众掌握了自我保健知识,怀孕后都能及早到医院去登记,进行产前检
In Shanghai, the management of high-risk pregnancies has been carried out for more than 10 years. The maternal mortality rate dropped from 30.21 / 100,000 in 1980 to 28.52 / 100 in 1992. The perinatal mortality rate dropped from 15.9 ‰ in 1980 to 11.37 ‰ in 1992. Due to the development of medicine, the popularity of perinatal care technology, obstetric complications, advances in complication treatment, and the decrease in the number of births have also correspondingly changed the functional division of MCH institutions at all levels in cities. Urban-level health care institutions basically bear only the initial investigation and early pregnancy card building, no longer bear the routine prenatal care and take-off tasks; urban secondary and tertiary institutions to deal with the high risk of obstetric basic close. At the same time, the masses have acquired the knowledge of self-care and can go to the hospital to register as soon as possible after pregnancy,