China implements a plan to improve the safety of mothers and child
The “Decision of the Central Committee of the Communist Party of China and the State Council on Optimizing the Fertility Policy to Promote the Long-term Balanced Development of the Population” to further improve the level of prenatal and postnatal care services and safeguard the health rights of women and children. The Chinese Health Commission is summarizing the implementation and effective experience of the 2018-2020 Maternal and Child Safety Action Plan Based on the practice, the organization formulated and issued the “Mother and Child Safety Action Improvement Plan (2021-2025)” (hereinafter referred to as the “Enhancement Plan”), which was announced on the official website on the 14th.
Women and children’s health is the cornerstone of national health. The “Healthy China 2030” Planning Outline clarifies that by 2030, the national maternal mortality rate will drop to 12/100,000, and the national infant mortality rate will drop to 5‰.
The promotion plan proposes to promote the safe and high-quality development of mothers and infants, and reduce the maternal and infant mortality rates. By 2025, the national maternal mortality rate will be reduced to 14.5 per 100,000, and the national infant mortality rate will be reduced to 5.2 per thousand, which will be achieved as scheduled. The main goals of the “Healthy China 2030” Plan have laid a solid foundation.
According to the improvement plan, the action content includes five aspects including the improvement of pregnancy risk prevention level, the improvement of emergency treatment level, the improvement of quality and safety management level, the improvement of maternity and child specialist service capabilities, and the improvement of the satisfaction of mass visits and delivery, covering a number of specific measures.
For example, in terms of improving the level of emergency treatment, for common critical illnesses such as postpartum hemorrhage and neonatal asphyxia, special skills training and rapid response team first aid exercises will be carried out at least once a quarter. Emergency cesarean section is determined by the time between surgery and fetal delivery ( DDI) strive to control it within 30 minutes and gradually shorten it; establish and improve the doctor-patient communication mechanism for the treatment of critically ill pregnant and lying-in women. During the treatment and rescue period, the medical team should designate an obstetrician to be responsible for communicating with the patient’s family.
Regarding the improvement of people’s satisfaction with medical visits and childbirth, during the epidemic period, appropriate adjustments are encouraged to extend the outpatient time of obstetrics, ultrasound and other departments. Institutions with conditions can explore to open weekend outpatient clinics, holiday outpatient clinics, and night outpatient clinics; promote appointments for diagnosis and treatment throughout pregnancy and delivery, and guide pregnant and lying-in women When the midwifery machine is built, the responsible physician is determined, and an obstetrician or an obstetric medical team is encouraged to provide full-process systemic health care services for pregnant women who have not been transferred to the hospital; standardized non-drug analgesia services such as professional accompanying childbirth, Encourage the development of drug analgesic delivery services, and medical institutions with conditions can carry out childbirth accompanied by family members.
Source: people.ce
