Li Cui-Ling, Jiang Tao, Hu Xiu-Zhen, Zhao Kai, Yu Qiong, Zhang Hui-Ping
Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
PLoS One. 2013 Aug 15;8(8):e72649. doi: 10.1371/journal.pone.0072649. eCollection 2013.
Improving the health and well-being of women and children has long been a common goal throughout the world. From 2005 to 2011, Suizhou City had an annual average of 22,405 pregnant and parturient women (1.04% of the population) and 98,811 children under 5 years old (4.57% of the population). Understanding the status of maternal and child health care in Suizhou City during such period can provide the local health administrative department valid scientific bases upon which to construct effective policies.
Various types of annual reports on maternal and child health care were collected and analyzed retrospectively.
Mortality rates for infants and children under 5 years showed a declining trend, while the rates of newborn home visiting, maternal health service coverage, and children health systematic management increased annually in Suizhou City from 2005 to 2011. The incidence of birth defect increased from 2.42 ‰ in 2005 to 3.89 ‰ in 2011. The maternal mortality ratio (MMR) fluctuated from 8.39/100,000 to 28.77/100,000, which was much lower than the national MMR (30.0/100,000 in 2010). The rates of hospitalized delivery and births attended by trained health personnel for pregnant women increased to more than 90% in the past five years.
The improvements in maternal and child health care work in Suizhou City are worthy of recognition. Thus, the government should continue to increase funding in these areas to promote the complete enhancement of the maternal and child health care system.
改善妇女儿童的健康与福祉长期以来一直是全世界的共同目标。2005年至2011年期间，随州市年平均有22405名孕产妇（占人口的1.04%）和98811名5岁以下儿童（占人口的4.57%）。了解这一时期随州市妇幼保健状况可为当地卫生行政部门制定有效政策提供有效的科学依据。
回顾性收集并分析各类妇幼保健年度报告。
2005年至2011年，随州市婴儿及5岁以下儿童死亡率呈下降趋势，而新生儿访视率、孕产妇保健服务覆盖率及儿童健康系统管理率逐年上升。出生缺陷发生率从2005年的2.42‰上升至2011年的3.89‰。孕产妇死亡率在8.39/10万至28.77/10万之间波动，远低于全国孕产妇死亡率（2010年为30.0/10万）。过去五年，孕妇住院分娩率及由 trained health personnel（此处疑有误，可能是“受过培训的卫生人员”）接生率均提高到90%以上。
随州市妇幼保健工作取得的成绩值得肯定。因此，政府应继续加大这些领域的资金投入，以推动妇幼保健体系的全面提升。
