目的保障母婴安全,降低孕产妇和婴儿死亡率,提高产科医疗质量。方法通过整合产科资源,狠抓体制建设,健全激励机制,加强人员培训与演练,开展产科质量精细化管理。结果航空总医院2015-2018年平均分娩量为4270例,剖宫产率25. 78%,危重孕产妇抢救成功率99. 5%,新生儿窒息发生率3. 1%,围产儿死亡率0. 47‰,产后出血发生率2. 5%,院内子痫发生率为0. 2%。顺利通过上级行政管理部门专家组验收,升级为三级助产机构。结论健全产科管理体制,完善产科工作制度,加强高危孕产妇管理等精细化管理措施是提高产科医疗质量的有效管理措施。

Objective To ensure maternal and newborn safety,reduce maternal and infant mortality and improve the quality of obstetric care. Methods Precision management of obstetric quality was carried out through the integration of obstetric resources,paying close attention to system construction,improving the incentive mechanism and strengthening personnel training. Results The average childbirth of the General Aviation Hospital in 2015-2018 was 4270 cases. The caesarean section rate was 25. 78%. The rescue success rate of critical maternity was 99. 5%. The incidence of neonatal asphyxia was 3. 1%. The perinatal mortality rate was0. 47‰. The incidence of postpartum hemorrhage was 2. 5%. The incidence of eclampsia was 0. 2%. Aviation General Hospital successfully passed the expert group inspection of administrative department and upgraded to a third-level midwifery hospital.Conclusions It is an effective management measure of improving obstetric quality by constructing obstetric management system,updating the work requirements,strengthening the high-risk maternal management and other fine management measures.