川东北地区剖宫产再孕妇女分娩方式的选择对助产士岗位需求影响的研究(1)
摘 要：目的 研究川東北地区剖宫产再孕妇女分娩方式的选择对助产士资源配置的影响。方法 对各市、县部分医疗机构负责人及妇产科主任、助产士进行定性访谈，搜集本地区2017年1月～12月卫生统计数据进行统计分析，对2017年1月～12月川东北地区剖宫产再孕妇女分娩方式的选择进行针对性问卷调查。结果 2016年“全面二孩”政策后，2017年再生育孕妇建册量占所有孕妇建册量的38.61%～41.23%，剖宫产再孕孕妇占再生育孕妇的37.80%～48.31%，三级医疗保健机构助产士∶医院产床比约为2.8∶1，助产士全部毕业于助产专业，老中青各级助产人员比为1∶3∶2，学历本科占80.03%，大专19.97%;二级及其他医疗保健机构助产士∶产床比约为2.1∶1，毕业于助产专业的占48.42%，从临床护士转助产士的占51.58%，45.57%的医疗保健机构在二孩政策放开后，才开始按助产士∶产床3∶1的比例培养助产士，58.70%的培养对象是临床护士转助产士。2017年三甲综合医院剖宫产再孕孕妇阴道分娩占顺产率的5.32%～9.42%，其他医疗保健机构剖宫产再孕孕妇阴道分娩占顺产率的0.81%～1.34%。结论 要提高川东北地区剖宫产再孕妇女阴道自然分娩率，各助产机构不仅应配备足够数量的助产士，而且要不断提高助产士的核心胜任力。
, 百拇医药
关键词：剖宫产再孕;分娩方式;助产士;岗位需求
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.16.030
文章编号：1006-1959(2018)16-0101-03
Study on the Influence of the Choice of Delivery Mode on the Demand of Midwives in
Re-pregnant Women Underwent Cesarean Section in Northeastern Sichuan
, 百拇医药
ZHANG Xiu-hua，XU Fan，WU Qin，FU Li-juan
(Department of Obstetrics，Nanchong Central Hospital，Nanchong 637000，Sichuan，China)
Abstract：Objective To study the influence of delivery mode choice on Midwives’ resource allocation in re-pregnant women underwent cesarean section in northeastern Sichuan.Methods Qualitative interviews were conducted among heads of medical institutions，directors of gynaecology and obstetrics and midwives in some cities and counties，and health statistics data from January to December 2017 were collected and analyzed.A questionnaire survey was conducted on the choice of delivery mode of cesarean section women in Northeast Sichuan from January to December 2017.Results After the"comprehensive two-child"policy in 2016，in 2017，the number of registered re-pregnant women accounted for 38.61% to 41.23% of all registered pregnant women.Re-pregnant women underwent cesarean section accounted for 37.80% to 48.31% of all registered re-pregnant women.The midwives of tertiary health care institutions：the hospital bed ratio is about 2.8：1.The midwives are all midwifery majors，the ratio of old age，middle age and youth age is 1：3：2 among the midwives，80.03% of them have undergraduate degree，and 19.97% have junior college degree;The midwives of secondary and other health care institutions：the ratio of bed is about 2.1：1，48.42% of them were midwifery majors.And the number of nurses transferred from clinical nurses to midwives accounted for 51.58%，45.57% of health care institutions，after the release of the two-child policy，the midwives were trained at 3：1 in the labor bed. 58.70% of the nurses were transferred to midwives.In 2017，in third-grade class-A general Hospital，in re-pregnant women underwent cesarean section，vaginal delivery accounted for 5.32%～9.42% of the eutociar rate.And in other health care institutions，in re-pregnant women underwent cesarean section，vaginal delivery accounted for 0.81%～1.34%.Conclusion In order to improve the natural vaginal delivery rate of women with cesarean section in northeastern Sichuan，the midwifery institutions should not only provide a sufficient number of midwives，but also improve the core competence of midwives., 百拇医药(张秀华 徐凡 吴琴 伏丽娟)
, 百拇医药
关键词：剖宫产再孕;分娩方式;助产士;岗位需求
中图分类号：R473.71 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.16.030
文章编号：1006-1959(2018)16-0101-03
Study on the Influence of the Choice of Delivery Mode on the Demand of Midwives in
Re-pregnant Women Underwent Cesarean Section in Northeastern Sichuan
, 百拇医药
ZHANG Xiu-hua，XU Fan，WU Qin，FU Li-juan
(Department of Obstetrics，Nanchong Central Hospital，Nanchong 637000，Sichuan，China)
Abstract：Objective To study the influence of delivery mode choice on Midwives’ resource allocation in re-pregnant women underwent cesarean section in northeastern Sichuan.Methods Qualitative interviews were conducted among heads of medical institutions，directors of gynaecology and obstetrics and midwives in some cities and counties，and health statistics data from January to December 2017 were collected and analyzed.A questionnaire survey was conducted on the choice of delivery mode of cesarean section women in Northeast Sichuan from January to December 2017.Results After the"comprehensive two-child"policy in 2016，in 2017，the number of registered re-pregnant women accounted for 38.61% to 41.23% of all registered pregnant women.Re-pregnant women underwent cesarean section accounted for 37.80% to 48.31% of all registered re-pregnant women.The midwives of tertiary health care institutions：the hospital bed ratio is about 2.8：1.The midwives are all midwifery majors，the ratio of old age，middle age and youth age is 1：3：2 among the midwives，80.03% of them have undergraduate degree，and 19.97% have junior college degree;The midwives of secondary and other health care institutions：the ratio of bed is about 2.1：1，48.42% of them were midwifery majors.And the number of nurses transferred from clinical nurses to midwives accounted for 51.58%，45.57% of health care institutions，after the release of the two-child policy，the midwives were trained at 3：1 in the labor bed. 58.70% of the nurses were transferred to midwives.In 2017，in third-grade class-A general Hospital，in re-pregnant women underwent cesarean section，vaginal delivery accounted for 5.32%～9.42% of the eutociar rate.And in other health care institutions，in re-pregnant women underwent cesarean section，vaginal delivery accounted for 0.81%～1.34%.Conclusion In order to improve the natural vaginal delivery rate of women with cesarean section in northeastern Sichuan，the midwifery institutions should not only provide a sufficient number of midwives，but also improve the core competence of midwives., 百拇医药(张秀华 徐凡 吴琴 伏丽娟)