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报道5个实施妇幼卫生项目县(市)与6个非项目县(市)妇女卫生状况的调查比较。揭示实施项目工作5年来,贵州省妇幼卫生工作取得很大进展,孕产妇死亡率由实施前236.8/10万降至149.1/10万。其中项目县降至96.8/10万,非项目县降至181.8/10万。新法接生率、产前检查率与产后访视率均比项目实施前有明显提高。项目工作的实施促进了项目地区基层网络与妇幼队伍的建设,提高了基层人员妇幼卫生服务的主动性,出现了新婚女性婚姻生育观念的转变。还必须深入持久地推行孕产妇系统管理,尤其是高危孕产妇的分级管理,努力提高住院分娩率,才能大幅度降低孕产妇的死亡率
A survey of five women’s health status in MCH counties (cities) and 6 non-project counties (cities) was reported. In the five years since the implementation of the project, great progress has been made in maternal and child health in Guizhou Province. The maternal mortality rate has dropped from 236.8 / 100,000 to 149.1 / 100,000. Among them, the number of project counties dropped to 96.8 / 100,000 and that of non-project counties dropped to 181.8 / 100,000. The new law delivery rate, prenatal care and postpartum visits were significantly higher than before the implementation of the project. The implementation of project work has promoted the construction of grassroots networks and women and children teams in project areas, improved the initiative of MCH services for grassroots personnel, and led to the change of the concept of marriage and marriage of newlywed women. The maternal system management must also be intensively and lastingly pursued. In particular, the management of high-risk maternal graders and efforts to increase hospital delivery rates can significantly reduce the maternal mortality rate