source: Qilu Evening News
"this year, the bed is particularly difficult." Hu Qingyang, an obstetrician at a third grade hospital in Ji'nan, is most afraid of acquaintances to arrange beds for him because it can not be added.
with the continuous release of the second child's childbearing desire, Ji'nan has increased more than 80 thousand newborn babies in 9 months, exceeding the total number of last year. This is followed by the growth of high-risk pregnant women and the sharp increase in blood consumption. Because the children are crowded to the big hospital, the grass-roots hospital has been cold. From next year, Ji'nan regulations must be set up at the grass-roots level.
5 o'clock in the morning queue
12 to finish production inspection
24, 4:30 in the morning, the sky is very dark, the cold in the late autumn let the people are reluctant to leave the warm quilt. But Li Ming and his wife, who were pregnant for 26 weeks, were afraid to get out of bed. They woke up quickly when the alarm clock rang. Because he had to go to the hospital with his wife to do the inspection. They want to catch up with the majority of people before they finish fetal echocardiography.
5:15 in the morning, Li Ming and his wife drove to the hospital. In the early morning, the city was not fully recovered. Only ten minutes later, Li Ming and his wife arrived at the hospital. At ordinary times, the hospitals where the flow of people is weaving is light, but some of them are empty. Li Ming went straight to the third floor of the heart color ultrasound examination room. At this time, two pregnant women were waiting, so they came to queue at less than 5 o'clock.
heart color Doppler examination room to go to work at 8 points, until 7, Li Ming let his wife continue to row, he went to the register window to hang the obstetrician number, didn't expect that the front had more than 20 people. Later, through self-help registration equipment, he hung up the seventieth obstetric clinic numbers on that day.
Color Doppler inspection Li Ming finally ranked ninth, and the first couple in the day, because of no money before, wait for the money and then come back more than ten. Considering that every pregnant woman had 30 minutes of cardiac color Doppler ultrasound, Li Ming left the phone to the couple in front of him, and hurriedly took his wife to take blood to check blood sugar.
"total three needles, about once every hour." After the first needle, 9:10, just in time for heart color Doppler ultrasound. 9:40, finish the color Doppler and catch the second tubes. The blood is drawn here, and we must pay attention to the call of the clinic, so that the doctor can check the list of ordinary B-mode ultrasound. After pumping three blood, go to the obstetrics and Gynecology B ultrasonic room on the first floor for examination.
Li Ming said, all the tests were done until the results came out, and it was already close to 12. They hurried away with the results before the doctor went off duty. "Fortunately, everything was normal and the battle was finally over." Li Ming sighed, for this two child, really broke the heart.
9 months of birth,
60% is the two child
in fact, there are many people, like Li Ming, to catch up to two children before the birth limit, which also makes the cumulative fertility will burst out for many years. According to the statistics of the Shandong Provincial Health Planning Commission, since the implementation of the single two child policy in May 30, 2014, only five months ago, Shandong has accepted 223 thousand applications for two child reproduction alone, accounting for 1/4 of the country, and is called the country "the most dared to live" in the country. By 2015, the statistics of the State Health Planning Commission showed that Shandong's monthly average of more than 20000 children's two child applications were also far ahead of other provinces.
as of the end of this year, the fertility of two children in Shandong province is still in constant release. Taking Ji'nan as an example, 10 thousand and 100 pregnant women were built in September this year. Among them, the number of first pregnant women in one child was 3654, and the number of two children and above was 6286, and two children were over 2632, accounting for 60% of the total. "The proportion of two children in the total number of newborns is increasing month by month." Ma Suxiang, director of the maternal and child health service of Ji'nan Health Planning Commission, said that in August, two children had accounted for 57% of the total number of registered children.
according to the statistics of the Ji'nan Municipal Health Planning Commission, by the end of September this year, the city has 82 thousand and 800 newborn babies, and in 2015, the total population of the city was only 70 thousand. Because the comprehensive two child policy has only started this year, the industry expects to have a full birth peak in October. But obstetric nurses in many tertiary hospitals obviously feel that the baby boom has already appeared. Wang Junzhi, director of obstetrical department of Qianfo Hill hospital in Shandong Province, said that almost no punctuality has been made this year and holidays are mostly spent on duty. "
" on duty on Friday, 24 hours on duty, day outpatient pregnant women more than 160 people, at night to do a number of emergency operations, second days in the morning to check out more than 30 people, 24 hours of pregnant women more than 200 ah! This is the normal state of our staff on duty. The front line colleagues are more laborious, 24 hours are often extended to 28 hours, and the 24 hours of the weekend get twenty or thirty in the ward, and there is an emergency operation. Hong Fanzhen, deputy director of obstetrics at the second hospital of Shandong University, exclaimed in a circle of friends, it was an obstetric and nursing staff, a pregnant woman,
"this year, the bed is particularly difficult." A three a hospital obstetrician Hu Qingyang (pseudonym) told the reporter, in the ward, can always think of ways to add bed, but the room in the labour room is more tense, because there is no way to continue adding bed, only bed bed, two pregnant women lie on the top. "Two splint beds, lying on the bed of three pregnant women, stroll more than sitting on the chair, lying on the chair more than on the bed."
Hu Qingyang said, because there is no bed, a lot of pregnant women's amniotic fluid is broken, oxytocin can only sit on the chair and wait for production, all the time to the palace open all the way directly to the delivery room. "Now most afraid of acquaintances to find, let help arrange beds, really can not do."
high-risk pregnant women exceed 1/4
with the release of a total of two children, the number of high-risk pregnant women is also rising month by month. According to Ma Suxiang, there were 8353 pregnant women in high-risk pregnancy management in Ji'nan in 1-4 this year. By May, this figure had increased to 11560. By September, the number of pregnant women admitted to high-risk pregnancy management reached 29 thousand and 300, double that of four months ago, accounting for 28.33% of the total number of pregnant women (103 thousand and 400 persons).
dystocia and massive bleeding are the most common risks for high-risk pregnant women. According to Liu Shaohui, director of Ji'nan blood supply and Protection Center, with the outbreak of fertility demand, the rescue of high risk maternal bleeding has increased significantly. "In a critical condition, with a large amount of blood, a variety of blood types, and a long duration of blood transfusion, a parturient often needs tens of people or even hundreds of people to donate blood."
in May this year, Wang Bei, two child of the Fourth People's Hospital of Ji'nan City, was suspected to be a sudden amniotic fluid embolism because of persistent coma for symptoms such as coagulation dysfunction. At that time, 487 people donated blood 167 thousand milliliters urgently. In the month of Wang Bei's hospitalization, he used blood equivalent to 360 donated blood donors.
"the number of out patient visits to Ji'nan is increasing. The demand for clinical blood in Ji'nan is increasing at 10%-15% per year. In the first half of this year, only two child parturients rescued a large number of blood and appeared more than ten times. Liu Shaohui introduced that the amount of blood in Ji'nan maternal and child health care hospital increased 20% in 2015 than in 2014, 22% in 2016, and 158% in 2015 of Zhangqiu maternal and child health care hospital in 2015, and 80% in 2016.
in order to deal with this situation, 26 days, Ji'nan city set up a leading group of blood donation management in Colleges and universities, and actively mobilized students to volunteer to donate blood. At the same time, Ji'nan will further promote the work of voluntary blood donation by civil servants.
Basic midwifery resources
generally "idle"
the medical staff and pregnant women in the large hospital are all busy, but the grass-roots hospitals have been relatively quiet. Although the grass-roots level can provide free pregnancy inspection services, but most pregnant women go directly to the hospital, free pregnant and baby public health services, and a large number of grass-roots midwifery resources, generally in the "idle" state.
according to the statistics of September, the use rate of 21 level and two level hospitals in the city is over 100%, of which 10 hospital beds are used by more than 120%. Over the long term operation, the transfer of high-risk pregnant women has become a difficult problem. "In April, there were 2713 newly increased pregnant women in midwifery institutions in Ji'nan, but only 3 cases were transferred. Most hospitals do not provide adequate beds for referral. Most of the referral depends on private relationships between hospitals. " Ma Suxiang said high-risk pregnancy grading management mechanism has not yet been put into place.
to this end, Ji'nan has specially issued a hierarchical management method for pregnant and lying in women, which requires the major hospitals to take care of high risk pregnant and lying in women mainly, and the flat production is as much as possible in the lower level hospitals. "The utilization rate of beds in large hospitals should not exceed 93%, and the high-risk pregnant women who receive hospital delivery should not be less than 50%." Ma Suxiang said that for non-compliance hospitals, regular rectification will be carried out.
in addition, in order to effectively divert pregnant women, from next year, all pregnant women in Ji'nan should be set up at the grass-roots health institutions, and all the midwifery hospitals will be stopped. "The medical staff assess the situation of pregnant women and provide free medical public health services, and then recommend which level of hospital you should go to to do related pregnancy care." Ma Suxiang introduced primary health institutions including health centers and community health service institutions.
at the same time, in order to ensure the safety of high risk pregnant and parturient women, Ji'nan city has now identified the city center hospital and the municipal maternity and child health care hospital, as the city level critical hospital for severe and severe pregnant and parturient treatment, and the Municipal Children's hospital is a designated hospital for emergency treatment of severe severe newborn. Ma Suxiang said that after the establishment of three designated hospitals in counties and cities, the referral system for high-risk pregnant women will be more smooth.