All children are chosen to have a large hospital bed full of Ji'nan.
at the end of 1-5 months, the population of Ji'nan's census register was born two children and 17 thousand, an increase of 32.3% over the same period. Not only is the obstetrics and paediatrics of the provincial hospital of the provincial hospital found more critically ill pregnant women and premature newborns. The recent monitoring by the Ji'nan Municipal Health Planning Commission shows that the city was only included in the high risk pregnancy management in May, more than 3207 more than the first four months of this year. There will be more in the second half of the year and next year. At the same time, 18 provinces and cities with midwifery function are comprehensive large hospitals or specialized hospitals, of which 7 midwifery hospitals have more than 120%, and the highest can reach more than 130%. This poses severe challenges to the rescue of critically ill pregnant women. The reporter learned that from July 1st this year, pregnant women who were pregnant for 12 weeks were required to go to the grass-roots hospitals, and the "double track system" was implemented by the end of the year. This regulation should be strictly implemented from next year. It is mainly to establish the standard of grading diagnosis and treatment for pregnant and lying in women. Yang Fang / reporter Yang Fang / reporter Wang Xiaofeng high risk pregnant women in May more than the first four months more than the first four months of this year, since February this year, the Ji'nan Municipal Health Planning Commission established the registration system for pregnant and lying in women. The reporter saw that the total number of pregnant women in Ji'nan in April (more than 12 weeks of pregnancy) was 43100, of which 8353 were included in the high-risk pregnancy management, accounting for 19.4% of the total number of pregnant women. By May, the number of pregnant women who were only included in high-risk pregnancy management reached 11560, 3207 more than those in the previous four months. High risk pregnant women accounted for 23.74% of the total number of pregnant women in the register, nearly 1/4.
according to Ma Suxiang, director of the maternal and child health service of Ji'nan Municipal Health Planning Commission, 80% people in line with the total two child policy are between 35 and 45 years old. "In the normal population, 15% to 20% are high risk pregnant women, so it can be seen that between 35 and 45 years old, the high risk pregnant women will be more pregnant and parturient, and the high risk pregnant and lying in women will be more Centralization, the number of high risk will also increase significantly. " Ma Suxiang introduced, since January 1st this year since the beginning of the implementation of the comprehensive two child policy, although there is a preemptive pregnancy, but the release of the overall two child childbirth wishes should be in the second half of this year to 2017 to reach the peak, the whole release process is about 3 years. "The number of high-risk registrations in the second half of this year will be even higher." According to him, the next step is to implement the early warning mechanism of midwifery information in Ji'nan, so as to prepare for the sudden increase in population. General pregnant women's construction book is in the 12 week of pregnancy, if this month, a hospital is more than the normal number of books, means that eight months after the birth of more children, the hospital and the health planning commission to have to deal with.
the use rate of 7 midwifery hospitals in Ji'nan is over 120%
now, in addition to the grass-roots midwifery hospital, the pregnant women have to queue up no matter which hospital to go to the provincial capital. Even the children have the possibility of adding the bed to the corridor first, and then the parturient in front of the hospital and then transferred to the ward.
according to statistics, in 1-4 months, the number of delivery women in Ji'nan reached 33715, nearly half of the total delivery volume last year. In April, the use rate of 18 hospitals in 18 hospitals of grade two public midwifery in Ji'nan was more than 100%, of which 7 hospitals (Qilu Hospital, provincial hospital, Ji'nan maternal and child health care hospital, Eastern Hospital of provincial hospital, provincial Qianfo Hill hospital, provincial hospital of traditional Chinese medicine, and Zhangqiu maternal and child health care hospital) were used in more than 120% high beds. From the monthly average outpatient outpatient quantity of obstetricians, the three level public midwifery agencies were 347 people (4 days of outpatient clinics for obstetricians, 86.75 daily outpatient outpatients), 168 public midwifery two level public midwifery agencies, 52 public midwifery institutions (township health centers), private midwifery agencies for 46, grass-roots midwifery. The low utilization rate of the midwifery resources causes the waste of resources.
in a big hospital overcrowded and hard to get, the utilization rate of midwifery resources is generally not high. From the average bed utilization rate, the three level public midwifery institutions were 110%, two public midwifery institutions were 77.27%, the first class public midwifery institutions (township health centers) were 18.8%, and the private midwifery institutions were 55.75%. Although the city of Ji'nan identified 5 three level comprehensive hospitals for the emergency treatment of critical and severe pregnant women in Ji'nan, the implementation of the rescue system, Ma Suxiang admitted that the current implementation of "not very ideal", classification management has not been effectively implemented.
and the excessive use of doctors and beds also bring hidden trouble to medical services. Ma Suxiang said that the overload working state increased the practice risk, especially in the key departments of Obstetrics, ultrasound diagnosis and other key posts, and the health technicians in the key positions were relatively inadequate, and the contradiction was prominent. The risk of infection in the hospital has increased, and the addition of the beds in the part of the midwifery area has become a normal condition. The increasing number of pregnant and parturient women, newborns, family members and visitors are gathered in the narrow space, which makes the air flow in the ward and the risk of pregnant and parturient women and newborns increasing.