Chapter 1 Specialty Profile
1. Prioritizing System Construction of "Centering on Health Care and Integrating Health Care with Clinical Practice"
Adhering to the maternal and child health guideline of centering on health care, aiming to safeguard reproductive health, integrating health care with clinical services, targeting the general public and grassroots levels, and giving priority to prevention, our hospital carries out whole-life-cycle and three-level preventive maternal and child health care services. We provide proactive and continuous maternal and child health management services covering the entire life span from birth to old age for women and children.
(1) Establish and improve the regional maternal and child health service network and monitor its operation
A sound service network of medical and health institutions in the jurisdiction (including delivery hospitals, street health and prevention centers, community health service centers, hereinafter the same) has been established. We have built a maternal and child health care and family planning technical service network featuring resource sharing, complementary advantages, efficient operation and public satisfaction. The hospital keeps track of the status of maternal and child health services, management conditions and influencing factors, and puts forward suggestions for improvement, implementing comprehensive and dynamic supervision over maternal and child health services in the district.
(2) Establish collaboration mechanisms for public health service networks at all levels, and provide technical guidance and quality control
We conduct grassroots supervision on the three-level maternal and child health service network (district maternal and child health hospital — street hospitals & street health and prevention centers — community health centers & kindergartens). The hospital evaluates and assesses network collaboration at all levels, summarizes and analyzes problems identified during supervision, feeds back relevant information and formulates improvement measures, so as to steadily consolidate and strengthen the public health service network year by year.
(3) Assist in establishing and optimizing the referral network for critically ill pregnant women and children
A referral network and green channel for critically ill pregnant women and children have been set up, with standardized referral procedures covering assessment criteria, classification, transportation, handover, diagnosis and treatment, as well as outcome tracking and feedback mechanisms. An expert database for consultation and referral of critically ill pregnant women and children has been established with clear communication procedures to form an efficient referral channel.
We organize professional training, deliver technical guidance and conduct quality control, and carry out regular supervision and drills on the operation of the referral channel. Regular assessment and supervision are implemented with standardized reports generated to continuously improve service quality.
(4) Implement national maternal health care project plans and assist the District Health Bureau in formulating local implementation plans
In accordance with national policies and requirements on maternal and child health work and maternal health care service projects, our hospital assists Bao’an District Health Bureau in formulating and implementing local project plans. We monitor the implementation of maternal and child health service projects in the district, provide technical guidance and project training with complete archived records.
Semi-annual and annual summary and analysis are conducted for project technical guidance, with targeted improvement measures formulated to achieve sustainable and effective optimization.
(5) Assist the District Health Bureau in supervising and evaluating the implementation effect of maternal health care projects for continuous improvement
Our hospital supports the District Health Bureau in formulating supervision plans and evaluation criteria for maternal health care projects, and undertakes project supervision, effect assessment and follow-up management. We analyze, summarize and feed back supervision and evaluation results, and put forward and implement corresponding improvement measures.
(6) Promote and apply achievements of maternal health care projects
Achievements of maternal health care projects are popularized and applied across the district. A long-term mechanism for project promotion has been established with detailed implementation plans formulated and fulfilled. Regular evaluation is conducted on promotion effects, with improvement measures proposed and fully implemented.
(7) Information management of maternal health care
We assist the health authority in building a regional maternal health care information platform and data center, responsible for data collection, monitoring and management. A standardized quality control system and information management mechanism have been formulated to ensure timely, accurate submission and safety of health information.
The hospital conducts quality control, analysis and utilization of health data, and proposes and implements rectification measures for problems found in supervision.
(8) Optimize the setup and management of four major business departments to promote in-depth integration of health care and clinical services
In accordance with the spirit of official documents issued by the National Health Commission: Guiding Opinions on Standardized Construction and Management of Maternal and Child Health Service Institutions (No. 54 [2015]) and Notice on Guidelines for Business Department Setup of Maternal and Child Health Service Institutions at All Levels (No. 59 [2015]), our hospital optimized and integrated maternal and child health care and family planning technical service resources with Bao’an District Family Planning Special Hospital (Bao’an District Family Planning Service Center) in 2017, and restructured family planning service functions.
A leading group for standardized construction and management of maternal and child health service institutions headed by the hospital president was set up. By integrating the overall institutional framework and discipline system, four major business departments were established: Maternal Healthcare Department, Child Healthcare Department, Women’s Healthcare Department and Family Planning Service Department. An integrated management system for health care and clinical medical quality has been built.
Based on overall development, we strengthen the construction of health care specialties and highlight advantages of preventive care, realizing in-depth integration of health care and clinical services, organic integration of group health care and individual health care, as well as talent exchange between public health and clinical medical teams. Health care services are quantified and incorporated into the performance appraisal of each business department to encourage all departments to carry out standardized health care services.
In the field of maternal and child health services, our hospital took the lead in establishing the National High-quality Maternal and Child Health Demonstration Zone in 2016, and has been accredited as a Shenzhen Key Medical Specialty and National Smart Maternal and Child Digital Hospital Demonstration Unit.
2. Enrich Connotation Construction of the Specialty
(1) Attach importance to primary prevention. The specialty provides 25 free premarital and pre-pregnancy eugenic health examination services for residents in the jurisdiction, and distributes free folic acid to women preparing for pregnancy or within the 12th week of gestation.
(2) Complete setup of sub-specialties for pregnancy period, including obstetric ICU, prenatal diagnosis and fetal intrauterine treatment, preterm birth and miscarriage, perinatal metabolic diseases, psychological intervention, VBAC, scarred uterus, twin pregnancy, prenatal nutrition, as well as AIDS-syphilis-hepatitis B blocking clinic (E-clinic).
(3) Strengthen the connotation construction of women’s nutrition specialty clinic, carry out individualized dietary nutrition analysis and targeted guidance, and provide comprehensive and scientific services including nutritional monitoring and physical shape improvement for women. Focusing on pregnant and postpartum women, we continue to optimize routine health education programs such as Orff music prenatal education, Lamaze breathing pain relief childbirth method, maternal health exercises and parent-child yoga. New women’s health promotion programs are actively expanded to form full-life-cycle health promotion services for women at all ages.
(4) As the Bao’an District Diagnosis and Treatment Center for Pelvic Floor Dysfunction, the postpartum rehabilitation specialty has a strong professional team. Seven professionals have obtained European Level I and Level II pelvic floor rehabilitation certificates, and another 11 professionals have received specialized pelvic floor training and obtained domestic qualification certificates.
The team undertakes technical training, professional guidance and diagnosis of difficult cases for the district pelvic floor dysfunction prevention and treatment network, providing more than 50,000 person-times of urodynamic examination and pelvic floor rehabilitation services annually.
(5) On the basis of traditional prenatal screening and diagnosis technologies, the Prenatal Diagnosis Center continuously develops new technologies. Mature clinical services include high-resolution karyotype analysis, chromosomal microarray analysis, non-invasive high-throughput prenatal testing, Sanger sequencing and whole-exome high-throughput sequencing.
Cooperating with The Chinese University of Hong Kong, the center independently developed low-pass WGS (low-depth whole-genome sequencing) technology, with research achievements published in Genetics in Medicine (IF=8.683), which has been widely applied in clinical practice.
(6) In the field of fetal medicine, the hospital actively develops intrauterine fetal treatment technologies, including rapid transabdominal amnioreduction, constant-temperature amnioinfusion, fetal body fluid drainage, intracardiac potassium chloride fetal reduction, radiofrequency ablation fetal reduction, and fetoscopic placental vascular occlusion. These technologies improve maternal and fetal outcomes and perinatal survival quality. The specialty will further expand its influence to attract patients from Shenzhen and surrounding cities, and build an influential intrauterine transfer center in South China within 2 to 3 years.
(7) Construction of Prenatal Control Center: Optimize diagnosis and treatment procedures, improve work efficiency, refine the pre-hospital and in-hospital emergency linkage mechanism, create conditions for early identification of critical illnesses and 5-minute emergency cesarean section, and ensure maternal and fetal safety.
(8) Specialty informatization construction: Improve patient medical experience, medical quality and patient safety through smart services and smart medical care.
(9) Modern delivery ward construction: Realize childbirth services featuring safety, painlessness, family accompaniment, privacy protection and humanistic care.
(10) Critical illness management: Through integrated management and professional training of all delivery institutions across the district, Bao’an District has achieved zero maternal mortality in the past three years. Standardized management helps establish an early warning system for high-risk pregnancy to reduce the incidence of severe maternal complications. Informatization construction improves the emergency linkage system between pre-hospital and in-hospital care. Discipline capacity building cultivates a high-quality team for critical illness treatment, building a referral and treatment center for critically ill pregnant women in western Shenzhen.
(11) Strengthen characteristic technologies and services of the specialty: The hospital took the lead in carrying out labor analgesia in China and strengthened intrapartum safety monitoring. We further optimize characteristic medical services such as gestational nutrition management, expanded comprehensive intervention technologies for maternal-fetal vertical transmission during pregnancy, and popularization of fetal monitoring for high-risk pregnancy. New humanistic and warm intrapartum and postpartum services are launched to promote high-quality development of the specialty.
3. Strengthen Talent Team Building
The specialty has a total of 412 medical professionals engaged in maternal health care services, including 119 physicians and 257 nursing and midwifery staff. Among them, there are 23 chief senior physicians, 41 associate senior physicians, 3 doctoral supervisors, 6 master’s supervisors, 18 PhD holders and 103 master’s degree holders.
We actively cultivate professional teams for each sub-specialty and upgrade service capacity. Backbone professionals are dispatched for further study and academic exchanges in sub-specialties including fetal medicine, miscarriage and preterm birth, gestational metabolic diseases, and emergency treatment of critically ill pregnant women, striving to build a diversified and integrated world-class professional team.
Professional staff are encouraged to attend domestic and international academic conferences to broaden horizons and introduce advanced medical knowledge and theories. We strengthen scientific research cooperation and exchanges with well-known universities, research institutes and laboratories at home and abroad, keep abreast of international cutting-edge academic trends, and continuously improve the overall professional level of the team. By strengthening talent training, we strive to cultivate outstanding professionals and be accredited as a Guangdong Provincial Key Clinical Specialty within 5 years.
The hospital fully supports professional staff in pursuing higher academic degrees. Four young backbone physicians have obtained doctoral degrees and three have obtained master’s degrees. We actively carry out international cooperation and exchanges, sending more than 10 mid-senior and young and middle-aged physicians for 3 to 12 months of professional training at renowned institutions including Wexner Medical Center of The Ohio State University, Joslin Diabetes Center of Harvard University, and Prince of Wales Hospital of The Chinese University of Hong Kong.
In 2017, the hospital introduced the maternal-fetal medicine expert team led by Professor Leung Tak Yeung from The Chinese University of Hong Kong to strengthen clinical and basic research cooperation in maternal-fetal medicine.
4. Continuously Improve Service Conditions
(1) Promote informatization construction
The hospital comprehensively promotes the integration of Internet plus medical care in maternal health care services, realizing paperless inpatient medical records, completing structured outpatient electronic medical records and constructing the maternal and child health platform. Self-service functions are provided for pregnant women, including online appointment and payment, independent inquiry of outpatient medical records and test results, and query of follow-up precautions.
(2) Provide smart medical services
Smart hospital construction highlights services such as self-service pregnancy registration, prenatal self-check-in, and independent fetal monitoring via wearable devices for pregnant women. Electronic check-in systems, automatic blood pressure monitors and height and weight measuring machines effectively shorten patients’ waiting time and greatly alleviate the shortage of nursing staff.
5. Drive Development through Teaching and Scientific Research
The specialty has established the Maternal-Fetal Medicine Research Institute to integrate clinical practice with scientific research. Up to now, it has obtained 10 projects funded by the National Natural Science Foundation of China and published more than 70 SCI papers in the past three years. In the future, we will comprehensively advance the construction of clinical services, teaching and scientific research as well as talent training for the specialty, so as to guarantee the reduction of maternal mortality, perinatal mortality and incidence of birth defects.
Chapter 2 Specialty Construction of Maternal and Child Health Institutions
1. Full Implementation of Maternal Health Care Services
In accordance with the requirements of the Guidelines for the Construction and Management of Maternal and Child Health Specialties (Trial) and Guidelines for the Setup of Business Departments of Maternal and Child Health Service Institutions at All Levels issued by the National Health Commission, Shenzhen Bao’an District Maternal and Child Health Hospital comprehensively provides premarital, pre-pregnancy, prenatal, intrapartum and postpartum health care services, actively carries out the treatment and management of critically ill pregnant women, and continuously expands featured maternal health care services.
(1) Pre-pregnancy Health Care Services
Since 1998, the hospital has been a designated institution for premarital medical examination. It provides pre-pregnancy consultation and health care, health education, contraception guidance and eugenics counseling for newly married couples. The Pre-pregnancy Health Care Department takes the lead in guiding all hospitals in the district to carry out pre-pregnancy health care work to meet local demands for eugenic health services. It plays a leading role in premarital and pre-pregnancy eugenic examination and health care in Shenzhen and Bao’an District, forming a three-level technical service network: the hospital’s pre-pregnancy specialty — designated examination hospitals in the district — street family planning offices.
(2) Prenatal Health Care Services
Prenatal health management focuses on establishing prenatal health records, regular gestational monitoring, risk factor screening, prenatal screening and diagnosis, fetal medical intervention, nutritional counseling, psychological guidance, oral health care, disease prevention and health education, offering diversified, featured and innovative services. Intelligent applications such as wearable device-based fetal self-monitoring and professional midwifery consultation greatly improve the quality and efficiency of prenatal health management, embodying the smart hospital service model.
The prenatal health clinic conducts pregnancy risk assessment and standardized systematic management for all pregnant women receiving treatment. High-risk pregnant women are placed under special case management, with outpatient services delivered by physicians with associate senior professional titles or above to ensure maternal and fetal safety.
(3) Intrapartum Health Care Services
The integrated outpatient-inpatient service model delivers thoughtful care for mothers and infants. In 2019, the hospital recorded 21,325 deliveries, ranking first in Shenzhen and achieving zero maternal mortality. Whole-process monitoring and management are provided for mothers and fetuses during childbirth. The delivery ward is staffed with dedicated obstetric physicians, nurses and midwives. Standardized natural delivery-supporting techniques including artificial rupture of membranes, oxytocin intravenous infusion, forceps delivery, vacuum extraction and breech delivery are strictly implemented. Standard intrapartum health care protocols and procedures are formulated, with comprehensive emergency response mechanisms established for amniotic fluid embolism, severe preeclampsia, eclampsia, placental abruption, placenta previa, postpartum hemorrhage, hemorrhagic shock and neonatal asphyxia.
Dedicated physicians monitor labor progress round the clock, and one-on-one full-process midwifery accompaniment is available to ensure overall delivery safety. Family-accompanied delivery rooms are fully accessible. 24-hour continuous doula accompaniment is provided, with anesthesiologists stationed in the delivery ward around the clock. Continuous epidural labor analgesia is widely carried out, with the painless delivery rate reaching approximately 90% for primiparas during peak periods. The hospital actively promotes vaginal birth after cesarean section, external cephalic version for breech presentation, and twin vaginal delivery. Additional natural delivery-promoting measures such as free birthing positions, delivery balls, childbirth dance and restricted episiotomy are adopted. The cesarean section rate has remained at a low level in the past three years, standing at only 35.8% in 2019, far lower than that of peer maternal and child health hospitals.
As the leading institution of the Critical Child Rescue Center in Bao’an District, the hospital maintains smooth collaboration between obstetrics and pediatrics. Neonatal physicians are stationed in the delivery ward 24 hours a day to deliver high-quality life support for newborns.
(4) Postpartum Health Care Services
To ensure continuous postpartum health care services, the hospital optimizes follow-up procedures. Postpartum 42-day reexamination, pelvic floor function assessment and body shape evaluation appointments are arranged automatically upon maternal discharge for the convenience of subsequent medical visits.
Nursing staff in the baby-friendly ward regularly provide guidance on breastfeeding and postpartum rehabilitation, including abdominal breathing and Kegel exercise training. The breastfeeding consultation room offers strong support for maternal physical recovery and smooth lactation. To safeguard maternal physical and mental health, the hospital routinely conducts psychological assessment using the Edinburgh Postnatal Depression Scale for early screening and intervention of postpartum depression.
In December 2015, the hospital established the first breast milk bank in Shenzhen, a purely public welfare institution providing free donation and free use of breast milk. Donated breast milk is used for the feeding of hospitalized newborns such as preterm infants, low birth weight infants and infants with feeding intolerance after major surgery. To date, the milk bank has received 2 million milliliters of donated breast milk and provided assistance to 205 sick infants.
(5) Treatment and Management of Critically Ill Pregnant Women
As the district’s critical maternal rescue center, the hospital undertakes the supervision of high-risk pregnancy and standardized management of various pregnancy complications and comorbidities, with prominent strengths and features as follows:
A multidisciplinary rapid response team consisting of Obstetrics Dept, Gynecology Dept, ICU and Anesthesiology Dept is established. Complete conditions and standardized procedures for 5-minute emergency cesarean section are available to save maternal and fetal lives in a timely manner. The hospital has accumulated rich experience in the prevention and treatment of severe postpartum hemorrhage, setting an exemplary model for multidisciplinary emergency collaboration in such critical cases.
Pre-hospital emergency services for pregnant women cover Bao’an District and surrounding areas, handling all pregnancy complications and comorbidities such as preterm premature rupture of membranes, umbilical cord prolapse, prenatal hemorrhage, severe preeclampsia, hypertensive crisis and diabetic ketoacidosis, setting a benchmark for pre-hospital emergency management in the specialty.
Intrauterine transfer and green channel services provide targeted treatment and safe delivery for high-risk pregnant women in Bao’an District and surrounding areas of Shenzhen, currently covering the whole of Shenzhen and neighboring cities such as Dongguan and Huizhou. The specialty has standardized a complete intrauterine transfer system, including transfer indications and contraindications, risk assessment, pre-transfer preparation, in-transit monitoring, staffing allocation, transportation vehicles, equipment and medicine preparation, operational specifications during transfer, handover procedures, legal procedures, medical documentation recording and maternal-fetal outcome follow-up. Standardized intrauterine transfer and strengthened pre-transfer and in-transit assessment and monitoring help reduce the perinatal mortality rate.
2. Management of Regional Women’s Health Care Services
In addition to extensive in-hospital maternal and child health services, the hospital undertakes the administrative management of maternal and child health work in Bao’an District. Under the leadership of Bao’an District Health Bureau, centering on the core framework of one law and two outlines, the hospital establishes a linked hierarchical management mechanism with street health and prevention centers, delivery hospitals and community health service centers via the three-level maternal and child health network. It actively assists health administrative departments in regional business planning, scientific research and training, information analysis and utilization, technology promotion, as well as grassroots guidance, supervision and evaluation. The hospital effectively improves the fairness and accessibility of maternal and child health services in the district and continuously elevates the health level of local women and children.
(1) Implementation of the Maternal and Infant Health Project
To steadily control maternal and infant mortality and meet the target requirements of the National Program for Women’s Development and National Program for Children’s Development on schedule, the specialty assists Bao’an District Health Bureau in formulating implementation plans including the Bao’an District Project Plan for Reducing Maternal Mortality and Eliminating Neonatal Tetanus, Bao’an District Maternal and Infant Health Project Implementation Plan and Bao’an District Eugenics Benefiting People Project Implementation Plan. It carries out the construction of prenatal screening and diagnosis networks, standardized prevention and treatment of reproductive tract infections, and postpartum depression screening and intervention projects, taking full charge of project implementation and quality control.
In accordance with the above plans, work is carried out in five major aspects: obstetric and pediatric staff training, hierarchical management of pregnant women, standardized construction of obstetrics and pediatrics departments, critical rescue capacity building, and health education. Based on local conditions, the hospital assists health administrative departments in launching the Special Action Plan for Obstetric Capacity Building of Private Hospitals in Bao’an District, improving the capacity of obstetrics and pediatrics departments in private hospitals, the rescue capacity for critically ill pregnant women and children, maternal and child health service capacity, and maternal and infant health education.
With the implementation of the above plans, the maternal and child health service network in the district has been further improved, service capacity significantly enhanced, and service utilization gradually increased. Over the past decade, the overall management level of maternal and child health services has risen year by year. The systematic health management rate of pregnant women across the population increased from 78.59% to 92.96%, while the neonatal mortality rate dropped from 1.48‰ to 1.04‰. Meanwhile, the maternal mortality rate has been effectively controlled with a continuous downward trend. The maternal mortality rate in Bao’an District was 11.95 per 100,000 population in 2010, and recorded zero for two consecutive years in 2018 and 2019, exceeding the level of developed countries and achieving the final target indicators of the Shenzhen Women and Children Development Outline (2011–2020) ahead of schedule.
(2) Construction of Treatment and Management Network for Critically Ill Pregnant Women
As a regional maternal and child health management institution, the treatment of critically ill pregnant women has always been a key priority. The specialty assists Bao’an District Health Bureau in formulating and timely revising the management plan for high-risk pregnancy, and established the Bao’an District Maternal Rescue Network in 2008, which played a pivotal role in controlling and reducing maternal mortality. Taking the implementation of major health projects as an opportunity, the hospital strengthens the capacity building and supervision of maternal rescue among institutions in the district, implements the monitoring and reporting system for critically ill pregnant women, and arranges on-site treatment by expert teams from rescue centers, further optimizing the green emergency channel for critically ill pregnant women. On average, more than 110 critically ill pregnant women are successfully treated annually with a 100% rescue success rate in the past three years.
The management of maternal and perinatal mortality is consistently prioritized. A 24-hour reporting system is implemented for maternal deaths, with verification and investigation conducted for each case to clarify the whole process from pregnancy to death. The district has adopted a two-level hospital-district review system for many years. The specialty organizes two district-level reviews of maternal and perinatal deaths every year. Experts in perinatal health and related specialties conduct in-depth analysis of each death case, identify the causes of death and existing problems in medical treatment, put forward policy suggestions for health administrative departments, and feed back review opinions to responsible institutions for rectification.
In 2019, the specialty assisted district health administrative departments in launching the Project on Eliminating Maternal Mortality Caused by Amniotic Fluid Embolism, moving the threshold of maternal death prevention forward. It systematically reviews the whole medical service process including prenatal examination, admission diagnosis, medical monitoring and treatment, and medical record keeping, analyzes deficiencies in the occurrence, diagnosis and treatment of critically ill pregnant women, summarizes successful rescue experience, identifies weaknesses in institutional professional knowledge, service attitude, resource allocation and management, and puts forward continuous improvement suggestions. It also advocates professional skill training in delivery institutions to enhance maternal rescue capacity.
(3) Dynamic Monitoring of Regional Maternal and Child Health Status, Resources and Service Utilization
Since the 1990s, the specialty has adopted the Shenzhen Maternal and Child Health Information System, expanding maternal and child health services from obstetric hospitals to community health service centers. The system covers multiple business modules including birth certificate management, maternal health care, women’s health care, child health care, non-invasive prenatal screening, cervical and breast cancer screening, birth defect prevention, neonatal disease screening, maternal mortality monitoring and premarital medical examination, facilitating dynamic monitoring of maternal, fetal and infant health status in the district.
Annual obstetric quality inspections are carried out in delivery institutions. Obstetric quality inspection standards are revised based on the PDCA cycle, and dynamic hierarchical risk management is implemented for delivery institutions, strengthening graded risk management of pregnant women and optimizing the management effect of high-risk pregnancy.
Various research surveys are conducted to understand the allocation and utilization of maternal and child health resources in the district, including surveys on obstetric and pediatric resource supply and service demand, obstetric capacity of private hospitals, and gap analysis of AIDS, syphilis and hepatitis B prevention, providing scientific evidence for health administrative departments to formulate relevant policies.
(4) Implementation of Benefiting-People Public Health Projects
Relying on the three-level maternal and child health network, the hospital fully promotes 26 public health benefiting projects, including the program for eliminating mother-to-child transmission of AIDS, syphilis and hepatitis B, folic acid supplementation for preventing neural tube defects, comprehensive birth defect intervention project, free neonatal disease screening project, project for reducing maternal mortality and eliminating neonatal tetanus, and maternal and infant health project, with an annual district financial budget of nearly 100 million yuan.
Meanwhile, Bao’an District is one of the national pilot areas for eliminating mother-to-child transmission of AIDS, syphilis and hepatitis B, and also a pilot area for zero mother-to-child transmission of hepatitis B in Guangdong Province. Through the improvement of the service system, innovative service models have been established, including the E-Clinic integrating prenatal examination and infection management, testing before pregnancy registration, antiviral intervention in late pregnancy for high viral load cases, joint follow-up by hospitals and community health centers, and in-hospital vaccination for newborns. The coverage of free screening for AIDS, syphilis and hepatitis B has been expanded, with continuous monitoring and case follow-up management implemented across the district.
The screening rates for AIDS, syphilis and hepatitis B all exceed 99.5%; over 95% of children born to mothers infected with AIDS or syphilis receive standardized intervention measures; the hepatitis B immunoglobulin injection rate for newborns of hepatitis B surface antigen-positive mothers reaches more than 99.0%. The mother-to-child transmission rate of AIDS is controlled below 2%, syphilis below 6 per 100,000 population, and hepatitis B below 0.5%.
(5) Promotion of Appropriate Maternal Health Care Technologies and Strengthening of Service Quality Control
In 2019, 5 national and provincial continuing education projects related to maternal health care were launched, such as Issues in Pregnancy after Cesarean Section targeting the high proportion of scarred uterus pregnancies after the implementation of the universal two-child policy, and Training Course on Obstetric Critical Emergency Treatment and Practical Skills to improve the rescue capacity for critically ill pregnant women. Academic reviews of maternal and child deaths and various training sessions on appropriate technologies such as obstetric diagnosis and treatment and neonatal resuscitation were held, with a total of 11,012 person-times trained and 325 medical personnel from inside and outside the province receiving further training.
Leveraging major projects such as the maternal mortality reduction project, maternal and infant health project, critical maternal rescue project, comprehensive birth defect intervention and mother-to-child transmission prevention, regular grassroots technical guidance and quality supervision are carried out to strengthen the quality control of maternal health care services. The hospital organizes quarterly obstetric and pediatric quality supervision and technical guidance to fully grasp the service development status of delivery institutions and guide them to improve obstetric service quality.
(6) Active Development of Regional Maternal Health Education
Keeping pace with the construction of the smart hospital, health education has expanded from offline face-to-face lectures and printed brochures to multi-dimensional media-based health promotion channels, including pregnant women school, parent school, scientific parenting activities, portal website publicity, maternal and child health public welfare platform promotion, new media WeChat official account promotion and online micro-lessons.
Multi-department joint health education and promotion activities are held annually in combination with themed days such as International Women’s Day, World Thalassemia Day, World Breastfeeding Week, World Birth Defects Day and World AIDS Day. Large-scale public welfare activities are widely promoted via the hospital’s public welfare website, blogs, WeChat and local media.
An all-media maternal and child health education platform is built. A maternal and child health education resource database is established targeting key health issues before pregnancy, during pregnancy and after childbirth in the region. New media is fully utilized for health education in 2019, with at least 2 health education articles released on the official WeChat account every week, each gaining an average reading volume of over 5,000.
A sound management system and standardized procedures for the pregnant women school are formulated. The curriculum covers comprehensive health care key points from pregnancy to the postpartum period. A total of 300 lectures were held in 2019, keeping the public awareness rate of natural delivery steadily above 90%. Courses include prenatal and postnatal exercise, breathing pain relief for childbirth, practical training on neonatal bathing and touching, parent-child yoga and parent-child early education.
(7) Development of Bao’an District Smart Maternal and Child Health Information System to Realize Informatization of Maternal and Child Health Work
Bao’an District launched the Phase I construction of the Smart Maternal and Child Health Information System based on the regional health information platform in 2018. Subsystems including maternal and child health, child health care, prenatal health care, maternal and child health public health projects, and basic public health projects for women and children have achieved full regional coverage. At present, the docking with the information systems of medical institutions at all levels is being promoted.