Page 70 - 南京医科大学学报社会科学版

南京医科大学学报（社会科学版） 第2期 总第103期
· 164 · Journal of Nanjing Medical University（Social Sciences） 2021年4月

Study on the health management of pregnant women under the

universal“two⁃child”policy

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DENG Bo ，HU Xia ，ZHANG Cheng ，XU Xianggui ，CHEN Yan 1，4，5
1. School of Health Management & Policy，Nanjing Medical University，Nanjing 211166；2. Department of Medical
Administration，3. Department of Science and Technology，the First Affiliated Hospital of Nanjing Medical University，Women
and Children Branch Hospital，Nanjing 210036；4. Research Institute of Health Jiangsu，Nanjing Medical University，Nanjing
211166；5. Department of Outpatient，the First Affiliated Hospital of Nanjing Medical University，Nanjing 210029，China
Abstract：To analyze the changing trend of cesarean section rate and indications of cesarean section before
and after the implementation of the comprehensive“two⁃child”policy，the clinical data of 34 528 pregnant
women delivered in a provincial maternity and child health care hospital in Jiangsu Province，before and after
the implementation of the comprehensive“two ⁃ child”policy（January 1，2014 to December 31，2019） were
selected. A retrospective analysis of the changes in cesarean section rate and the indication ratio of cesarean
section were made in the study. A questionnaire survey was also deployed to understand the change in the
degree of mothers’awareness of delivery methods before and after the implementation of the policy，and
analyze the factors that cause the change in cesarean section rate. Results showed that after the comprehensive
“two⁃child”policy was released，the rate of cesarean section in the hospital decreased significantly. The number
of cesarean sections indicated by scar uterus，pregnancy complications and complications，placenta previa，and
prevascular vessels increased significantly. The number of cesarean sections indicated by fetal distress，
macrosomia，cephalopelvic disproportion，social factors and pelvic abnormalities were significantly decreased.
And also the level of mothers’awareness of delivery methods had been on the rise. According to the changing
trend of cesarean section indications， hospitals and relevant clinical departments should take effective
management measures to provide evidence⁃based evidence for monitoring safe hospital delivery data，promoting
hospital medical quality，improving maternal health management，and optimizing health policies.
Key words：“two⁃child”policy；cesarean section；indication of cesarean section；health management