A total of two children to let go for one year: fertility in big cities is stronger than that in small towns.
Xinhua net Beijing October 30th news, comprehensive two child policy in the party's the fifth Plenary Session of the 18th CPC Central Committee bulletin was clear. Over the past year, how did this policy land in all parts of the world? The "Xinhua viewpoint" was tracked by the reporter.
the implementation and pre judgment basically coincide with the small town
in a small town
in a symposium on the National Committee for population and environment of the National Committee of the Political Consultative Conference held at the end of September, the deputy director of the National Committee of the national Health Planning Commission, introduced a smooth implementation of the overall two child policy, and the birth condition is basically consistent with the pre decision before the policy adjustment. .
reporter in Beijing, Guangzhou and other big cities and other interviews found that after the full two - child policy landing, the two child childbearing will gradually release, many public hospitals obstetric maternity file No. 1 is difficult.
reporter recently seen in the Department of Obstetrics and gynecology in Peking University People's Hospital, the notice posted shows that the pre - birth of the obstetric document before June 10th next year has no quota. Beijing Chaoyang District maternal and child health care hospital maternity staff introduced, next May before the maternal filing has been full.
Guangzhou women and children medical center delivery room head of the delivery room, Zhang Huizhu, the head of the nurse, the number of out-patient archiving pregnant women showed that there were 1300 in October and 1400 in November, all over 1025 of the peak of the month of 2015.
reporters in some provinces and cities survey found that two children are relatively child-bearing. At the beginning of the year, a survey of two child fertility wishes in the county of Anhui Province showed that 20% of the two children were willing to have birth. Therefore, the population of two children was expected to be born around 2000. But by October, the local population increased by only 555 people, much lower than expected.
the Yiling district under the jurisdiction of Yichang, Hubei, has an average annual population of about 4000 per year. At the end of July, two children were born 763 people, accounting for 28.28% of the total number of births, and only 57 more than the same period last year.
multi party policies are faced with the challenge of
reporters. After the opening of the two children, a large number of children are released in a large number of policy families, which have a significant impact on the disposal of high risk pregnant women and the number of pediatricians:
- the number of pregnant women is obviously increased and the risk of pregnant women is increased. According to Fang Xiangdong, deputy director of the maternal and child health care hospital of Anhui Province, in order to cope with the two child birth peak, the hospital has set up a first aid group to accept critical parturients transferred from all over the province. In the first 10 months of this year, more than 200 critically ill parturients were admitted to the hospital, most of whom were elderly women.
Dr. Fang Dajun, a delivery room doctor in Guangzhou Women's and children's Medical Center, said that the risk of dystocia in the elderly, the rupture of the uterus and the postpartum hemorrhage were increased. It is also easy to ensure that the quality of medical care is difficult to guarantee.
a person in the industry confessed that some grass-roots hospitals were less prepared for the risk of pregnant and parturient women brought about by the total two children, and some municipal hospitals were not equipped with obstetric first-aid drugs, and some province midwives still had a gap of thousands of people.
- the shortage of pediatricians has intensified. Since the end of last year, 5 hospitals in Guangzhou have stopped pediatric emergency at night because of factors such as doctors leaving. The number of pediatric registration restrictions, suspension of emergency services, and even temporary paediatrics in pediatrics have also appeared in Shanghai, Nanjing and other places.
some experts in the industry said that although the relevant departments of the state have adopted the methods of restoring the undergraduate enrollment of Pediatrics and increasing the training of pediatricians, the pediatrician has been expanded, but the training cycle of the pediatrician is long, and the labor intensity is large and the remuneration income is low, and the number of the number of students is not up to the loss. The shortage of doctors will become more and more serious.
- the pressure of reproductive insurance funds in some areas increased. After a total of two children were released, many families bearing two children were also included in the protection of maternity allowance, resulting in a significant increase in maternity insurance fund expenditure. In July, the report on the draft of the municipal final accounts of Beijing in 2015 showed that, influenced by the two children and other reasons, the Beijing fertility insurance fund had a deficit of 168 million yuan in 2015 and the pressure of the fund increased.
the number of women in Guangzhou this year is expected to increase by 10 thousand more than at the beginning of the year. The financial department of Guangzhou will increase the expenditure budget by 150 million yuan in the budget adjustment at the Standing Committee of the Municipal People's Congress at the end of September.
the head of a local human society department said that the birth allowance provided by the birth insurance is waiting to be determined according to the relevant national policy. As long as the current policy does not adjust, even if the fund has a gap in revenue and expenditure, it will not affect the standard of treatment expenditure. In addition, there are more general balances of maternity insurance funds across the country, which is enough to sustain the increase in the total number of two children.
at the end of the year, Yuan Xin, a professor of the Institute of population and development of Nankai University, which is urgently required to accelerate the expansion of the peak of the year at the end of the year, introduces Yuan Xin, a professor of the Institute for population and development of Nankai University. As a result of the existence of early observation and pregnancy, most women are still in pregnancy, and the real fertility peak will be at least until the end of this year.
the person in charge of the Anhui provincial Wei Planning Commission said that the number of women in pregnant women has increased by about 35% in the whole province, which is more than double the number of pregnant women in conforming to the policy of two children. Therefore, the number of new births in the second half of this year will definitely increase significantly compared with the first half of this year, especially the increase of two children will be particularly obvious.
in the two child childbearing treatment protection, there are 29 provinces in the country to amend the local population and family planning regulations. Maternity leave for female workers is made up of two parts: "98 days for national holidays and two maternity awards," and maternity leave varies from 30 days to 3 months. For example, women born legally in Guangdong province can enjoy maternity leave for 178 days, up to 208 days.
Beijing for the increase of high risk pregnant women, it is clear that more than 80% of the index of Obstetrics and Gynecology should be allocated to high risk pregnant women in three grade hospitals in the city. For pregnant women who have complications such as pregnancy complications, the city and district two critical pregnant women are transferred to the green channel to enhance the comprehensive ability to deal with the high-risk pregnant women.
Professor Ping of the Institute of population research, Huazhong University of Science and Technology, said that the problems of difficult pregnant women, pediatric emergency and pregnancy risk in many areas will be further highlighted, especially in the public hospitals in large cities, and the production bed and doctors need to speed up the expansion speed.