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Strengthening the Maternal Health Management System to Safeguard Regional Maternal and Child Safety
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摘要: 妇女、儿童健康是全面健康的基石，是衡量社会文明进步的重要标尺，直接关系到家庭幸福与社会和谐。北京协和医院作为全国疑难重症诊治指导中心、北京市危重孕产妇救治中心及妊娠合并风湿免疫和内分泌系统疾病的会诊指定医院，肩负复杂疑难病例诊治及对口帮扶的重任。面对广泛且复杂的孕产妇来源，特别是未接受规范产前检查的急危重症患者，医院构建了多层次、全链条、多方位的母婴安全管理保障体系。通过发布高危孕产妇管理制度，优化危重症救治流程，推动信息化建设与多学科协作，北京协和医院有效提升了危重孕产妇救治效率和母婴安全保障水平。笔者系统总结了孕产妇管理体系的建设经验，并探讨其优化路径，以期为国内医疗机构母婴安全管理体系建设与完善提供有益借鉴。Abstract: The health of women and children serves as the cornerstone of comprehensive public health and represents a crucial barometer for measuring social progress and civilization. It directly impacts family well-being and social harmony. As a national-level guidance center for complex disease diagnosis and treatment, Beijing's critical maternal care center, and the designated consultation hospital for pregnancy complicated by rheumatic immune and endocrine disorders, Peking Union Medical College Hospital bears significant responsibilities in managing complex medical cases and implementing counterpart assistance programs. Confronted with diverse and complicated maternal sources, particularly emergency cases lacking standardized prenatal care, the hospital has established a multi-tiered, whole-process, and comprehensive maternal-infant safety management system. Through implementing high-risk maternal management protocols, optimizing critical care procedures, promoting informatization development, and enhancing multidisciplinary collaboration, Peking Union Medical College Hospital has substantially improved the efficiency of critical maternal care and maternal-infant safety assurance. This paper systematically summarizes the institutional development experience in maternal management and explores potential optimization approaches, aiming to provide valuable references for enhancing maternal-infant safety management systems in domestic healthcare institutions.
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