基层医院对“全面二孩”政策下高龄孕妇的监护与管理(1)
【摘要】 目的：探讨基层医院对“全面二孩”政策下高龄孕妇的监护和管理的效果。方法：选取2016年1月-2017年9月本院产科门诊早孕建卡“全面二孩”政策下高龄孕妇165例为研究对象，运用中山市妇幼保健信息系统管理网络对其进行监护和管理，了解此类人群妊娠结局及围产儿结局情况。结果：运用妇幼保健信息系统管理网络对“全面二孩”政策下高龄孕妇进行监护和管理，提高高龄孕妇就诊的依从性和自我保健意识，降低妊娠风险，预防出生缺陷，提高产科质量，降低孕产妇及围产儿死亡率，保障母婴健康和安全分娩。结论：运用妇幼保健信息系统管理网络对“全面二孩”政策下高龄孕妇进行监护和管理，是一种安全有效，低经济，简单易行，适宜基层医院的管理方式。
【关键词】 基层医院； “全面二孩”政策； 高龄孕妇； 信息系统
Guardianship and Management of Elderly Parturient Womenin Primary Hospital under Universal Two-child Policy/WU Junping.//Medical Innovation of China，2018，15(16)：-139
【Abstract】 Objective：To explore the effect of guardianship and management of elderly parturient women in primary hospital under the universal two-child policy.Method：A total of 165 cases of elderly parturient women under the universal two-child policy of in our hospital from January 2016 to September 2017were selected as the research object.They were supervised and managed by Zhongshan Maternity and Child Care Information System Management Network.The outcomes of elderly parturient women and perinatal infants were analyzed.Result：The maternity and child care information system management network was used to supervise and manage elderly parturient women under the universal two-child policy，to improve the compliance of elderly parturient womenand self-protection awareness，reduce pregnancy risk，prevent birth defects，improve the quality of obstetrics，reducemortality rate of elderly parturient women and infants，ensuring healthiness of elderly parturient women and infants and safe delivery.Conclusion：The use of maternity and child care information system management network to supervise and manage elderly parturient women under the universal two-child policy is a safe，effective，low-cost，simple and easy-to-use management method suitable for primary hospitals.
【Key words】 Primary hospital； The universal two-child policy； Elderly parturient women；
Information system
First-author’s address：Zhongshan Triangle Hospital，Zhongshan 528445，China
doi：10.3969/j.issn.1674-4985.2018.16.041
高龄孕妇指孕妇的分娩年龄≥35岁(即预产期年龄≥35岁的孕妇)[1]。随着国家“全面二孩”政策开放，高龄孕妇明显增多[2]。大量的循证医学证据表明，随着孕妇年龄的增加，孕期并发症、产时并发症和出生缺陷的风险也同步增加[3]。因此高龄孕妇的再生育也给围产医疗保健带来诸多新的挑战。
中山市妇幼保健信息系统涵盖了婚前检查、围产保健、儿童保健、妇女病普查、重大公共卫生、三网监测、出生医学证明管理等妇幼保健内容，基层医院运用妇幼保健信息系统对“全面二孩”政策下高齡孕妇进行监护和管理，能够动态的监测高龄孕妇的孕期基本情况、产时分娩情况及产后康复情况，实现高龄孕妇整个孕程的连续性健康管理。
本研究运用中山市妇幼保健信息系统管理网络对2016年1月-2017年9月本院165例“全面二孩”政策下高龄孕妇进行孕期、产时和产后的监护和管理，可有效降低妊娠风险，预防出生缺陷，提高产科质量，降低孕产妇及围产儿死亡率，保障母婴健康和安全分娩。现报告如下。, http://www.100md.com(吴俊萍)
【关键词】 基层医院； “全面二孩”政策； 高龄孕妇； 信息系统
Guardianship and Management of Elderly Parturient Womenin Primary Hospital under Universal Two-child Policy/WU Junping.//Medical Innovation of China，2018，15(16)：-139
【Abstract】 Objective：To explore the effect of guardianship and management of elderly parturient women in primary hospital under the universal two-child policy.Method：A total of 165 cases of elderly parturient women under the universal two-child policy of in our hospital from January 2016 to September 2017were selected as the research object.They were supervised and managed by Zhongshan Maternity and Child Care Information System Management Network.The outcomes of elderly parturient women and perinatal infants were analyzed.Result：The maternity and child care information system management network was used to supervise and manage elderly parturient women under the universal two-child policy，to improve the compliance of elderly parturient womenand self-protection awareness，reduce pregnancy risk，prevent birth defects，improve the quality of obstetrics，reducemortality rate of elderly parturient women and infants，ensuring healthiness of elderly parturient women and infants and safe delivery.Conclusion：The use of maternity and child care information system management network to supervise and manage elderly parturient women under the universal two-child policy is a safe，effective，low-cost，simple and easy-to-use management method suitable for primary hospitals.
【Key words】 Primary hospital； The universal two-child policy； Elderly parturient women；
Information system
First-author’s address：Zhongshan Triangle Hospital，Zhongshan 528445，China
doi：10.3969/j.issn.1674-4985.2018.16.041
高龄孕妇指孕妇的分娩年龄≥35岁(即预产期年龄≥35岁的孕妇)[1]。随着国家“全面二孩”政策开放，高龄孕妇明显增多[2]。大量的循证医学证据表明，随着孕妇年龄的增加，孕期并发症、产时并发症和出生缺陷的风险也同步增加[3]。因此高龄孕妇的再生育也给围产医疗保健带来诸多新的挑战。
中山市妇幼保健信息系统涵盖了婚前检查、围产保健、儿童保健、妇女病普查、重大公共卫生、三网监测、出生医学证明管理等妇幼保健内容，基层医院运用妇幼保健信息系统对“全面二孩”政策下高齡孕妇进行监护和管理，能够动态的监测高龄孕妇的孕期基本情况、产时分娩情况及产后康复情况，实现高龄孕妇整个孕程的连续性健康管理。
本研究运用中山市妇幼保健信息系统管理网络对2016年1月-2017年9月本院165例“全面二孩”政策下高龄孕妇进行孕期、产时和产后的监护和管理，可有效降低妊娠风险，预防出生缺陷，提高产科质量，降低孕产妇及围产儿死亡率，保障母婴健康和安全分娩。现报告如下。, http://www.100md.com(吴俊萍)