Re: the cost of childcare accounts for nearly 50% of the average household income in China 70%.
in line with the overall two child policy of the population, women over 35 years old accounted for 2/3, belonging to older women, plus half of the cesarean section and pregnancy, increased the risk of pregnancy
Zhang Yu, a 5 year old son who worked in a state-owned enterprise in Guangzhou, was pregnant with two children last year, There are two months to be born. Zhang Yu is 36 years old, clinically a pregnant woman, more than when pregnant with a child to do a lot of examination, such as down screening, sugar tolerance examination and so on, and always pay attention to diet, can not grow too fat, afraid of pregnancy hypertension, diabetes and so on.
older pregnant women like Zhang Yu are the targets of the hospital's "key care", and also the "two child" main fertility population. Data show that, in line with the comprehensive two child policy of women, more than 35 years old accounted for 2/3, to maternity safety risk.
2016 December 15th morning, Beijing Obstetrics and Gynecology Hospital, obstetrical department chief physician Chen Yihe 20 colleagues together to do a difficult cesarean section. The pregnant women from Hebei were pregnant with postpartum, and the local hospital was diagnosed as a dangerous placenta previa accompanied by placental implantation, and transferred to Beijing Obstetrics and Gynecology Hospital two days ago. After 3 hours of medical care, Xiao Zhu finally delivered the fetus and turned the corner.
Xu Mingjun told reporters that the arrival of the two child birth peak increased the number of high-risk parturients admitted to the hospital, accounting for more than 80%. "There are more than 270 major maternal rescues throughout the year, and the most advanced maternal age is 53 years old. Although there was no case of maternal death, the pressure in the hospital was quite large. " The average rate of cesarean section is 46.2%, the age of two children is very large, and the rate of cesarean section is high after half of the cesarean section.
elderly plus cesarean section factors increased the risk of pregnancy. Andy Chen told reporters that the incidence of chromosomal abnormalities and malformations of the pregnant women of the older pregnant women will increase, especially in pregnant women who have had unexplained abortion and fetal parting history, and are prone to abortion during pregnancy, and are easily accompanied by some diseases, such as pregnancy hypertension, pregnancy diabetes, and hypothyroidism. Because the energy and physical strength of pregnant women are not as high as those of young pregnant women, the risk of cesarean section is also more likely to occur during childbirth. Some elderly pregnant women are mentally anxious and even suffer from depression during pregnancy and postpartum.
the risk of cesarean section is more serious. "Cesarean section of the first fetus, two years is not recommended pregnancy, prone to uterine rupture." Andy Chen said, cesarean section of the uterus after the scar, if the scar healing is bad, in the middle and later period of pregnancy may "break" the uterus, that is, the rupture of the uterus, if the embryo is just in the scar, it is more dangerous, even life.
to meet the two child maternity hospital, almost all busy. However, this is just the beginning. Yuan Xin, a professor at the Institute of population and development of Nankai University, told reporters that in 2017 and 2018 it was the peak of the birth of the population after the implementation of the two - child policy, and the number of births was estimated to be about 20 million a year. Data show that in the first half of 2016, maternal mortality increased over previous years. How to reduce the risk of high-risk pregnancy and reduce the mortality of pregnant women and newborns has become a new topic in the two child era.
2016 April, the State Health Planning Commission issued the "advice on the effective management of pregnant and parturient women and clinical treatment", which requires all localities to speed up the construction of critical pregnant women and newborn treatment centers, improve the referral and consultation network of critical pregnant and parturient women and newborns, and improve the ability and level of treatment. By the end of 2017, a number of critical pregnant women and newborn treatment centers should be set up at the provincial level. At the level of city and county, at the two level, at least 1 critical pregnant and parturient treatment centers and 1 critical neonatal treatment centers should be established. Shanghai requires the city's midwifery institutions to set up an obstetric safety management office, which is responsible for coordinating the transfer and management of maternity care.
does not exist for too long. The size of the birth population after 2019 will restore the normal
absolute supply and demand tension superposition structural factors, making it difficult to build a file. How to integrate pre pregnancy, pregnancy, and children's health care content to meet the needs of the public needs to be further innovating and exploring the
two - child families who want to go to the best hospital production to ensure that the mother and the baby are completely lost. In big cities such as Beijing, the tight supply and demand structure overlapped with structural factors, making it more difficult to build archives.
Yang Chenggang, director of the population Institute of Southwestern University of Finance and Economics and the standing director of the China population society, believes that the supply of maternal and child health services is inadequate, obstetricians are short, especially the midwives are very short, and many obstetricians are both doctors and midwives. The three grade hospitals are generally better in technology, and are more secure in the health of pregnant women and newborns, so people want to have children in good hospitals. However, from the accessibility of services, the one or two level hospitals should play a role in diverting ordinary pregnant women and reducing the burden of filing three hospitals. "How to guarantee the supply of service capabilities and optimize the allocation of medical resources is a big challenge."
original analysis, the difficulty of filing is mainly that the quality of the third grade a hospital is difficult to file. On the one hand, hospitals should tap potential and adjust departments' surplus and deficiency. But in the long run, the filing will not be too long. The surplus of obstetric beds is a major trend in the future. He said: "in fact, there are still two children born in the first place. Many people who are in line with the comprehensive two child policy need time to prepare for various kinds of pregnancy, such as stopping the use of contraception technology. After 2019, the size of the birth population will return to normal, and the number of births will gradually decrease.
"the demand is unlimited, the supply is limited, easing the tension of supply and demand, we need to adjust policies, and timely introduce supporting policies to ensure supply. The public should also learn more about maternal health knowledge and reduce risk factors. Xu Mingjun said.
2016 October, the State Health Planning Commission and other five ministries and commissions promulgated the "suggestions on strengthening the basic health care services for the whole process of childbirth", in order to achieve 17 births per thousand births, and put forward a graded file and other diversion measures. In 2016, the central budget has invested 2 billion 910 million yuan to support 45 municipal and 202 county-level maternal and child health care institutions.
at present, some places begin to explore the integration and allocation of maternal and child health service resources. Beijing in the district and County Maternal and child health care centers for maternal and child health care centers, such as setting up service centers for pregnant women, to coordinate the problem of solving the difficulties of pregnant women, and the establishment of a federation of maternal and child health services between city and county, county and grass-roots health institutions in Jiangsu Province, and to promote the standardized construction of maternal and child health project and basic maternal and child health care.
experts point out that how to integrate pre pregnancy health care, pregnancy care, inpatient delivery, child health, child planning immunization and family planning, how to adapt to public needs, ensure the safety of the population, and provide high-quality and standardized eugenics and health management and services, still needs further innovation and exploration. .
"two child" policy implementation one year why most families still do not want to regenerate
the National Women's Federation of children's work department and the Chinese basic education quality testing cooperative innovation center of Beijing Normal University, and carried out a half year survey of the impact of the implementation of the comprehensive two child policy on family education.
covers the 0-15 year old parents of 10 provinces including Beijing and Liaoning. According to the survey, more than half of the children in the survey did not have the desire to give birth to two children.