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目的:探讨嘉兴市外来人口孕产妇2002~2013年保健管理现状及管理效果,为完善保健管理工作提供参考。方法:对嘉兴市2002年~2013年外来人口孕产妇保健管理数据报表分析,探讨现状及管理结果,并提出合理化完善方案。结果:嘉兴市外来产妇2002年至2013年建册率、产检率、探访率、系统管理率总体逐年上升,探访率2012年(79.51%)相比2011年(80.17%)略有下降;2005年相比2004年建册率、产检率、探访率、系统管理率4项指标上升显著,分别由23.42%、23.71%、23.99%、21.09%上升至37.02%、37.33%、37.51%、35.64%;直至2013年建册率、产检率、探访率、系统管理率达到77.53%、88.26%、88.55%、76.85%;外来人口孕产妇2002年至2013年间,高危妊娠发生率逐年升高,12年间发生率平均7.74%,2013年已达8.77%;围产儿死亡率、孕产妇死亡率逐年降低,11年间平均发生率分别为1.14%、5.2/万,其中围产儿死亡率2010年相比2009年略有上升;直至2013年,高危妊娠发生率、围产儿死亡率、孕产妇死亡率分别达到8.77%、0.72%、0.73/万。结论:嘉兴市外来人口孕产妇保健管理质量逐年提升,高危妊娠是需要着重加强管理的环节,需进一步完善保健管理体系。
Objective: To investigate the status quo and management effect of maternal health management in non-native population in Jiaxing from 2002 to 2013, and to provide reference for improving health care management. Methods: To analyze the maternal health management data of non-native population in Jiaxing from 2002 to 2013, discuss the status quo and management results, and propose a reasonable and perfect program. Results: The establishment rate, detection rate, visit rate and system management rate of migrant women in Jiaxing from 2002 to 2013 increased year by year with a slight decrease in the rate of visits in 2012 (79.51%) compared with 80.17% in 2011; Compared with the rate of establishment in 2004, the four indicators of detection rate, visiting rate and system management rate increased significantly from 23.42%, 23.71%, 23.99% and 21.09% to 37.02%, 37.33%, 37.51% and 35.64% respectively. Until 2013, the establishment rate, the rate of birth detection, the visit rate and the system management rate reached 77.53%, 88.26%, 88.55% and 76.85% respectively. The incidence of high-risk pregnancies increased year by year from 2002 to 2013 and occurred in 12 years Averaged 7.74% in 2013 and reached 8.77% in 2013. The perinatal mortality rate and maternal mortality rate have been decreasing year by year, with an average incidence rate of 1.14% and 5.2% respectively in 11 years. The perinatal mortality rate in 2010 was slightly lower than that in 2009 Up to 2013; the incidence of high-risk pregnancy, perinatal mortality and maternal mortality reached 8.77%, 0.72% and 0.73% respectively by 2013. Conclusion: The quality of maternal health management in non-native population in Jiaxing City is increasing year by year. High-risk pregnancy is a link that needs to be emphasized to strengthen management. It is necessary to further improve the health management system.