"Inner volume" obstetrics

Zhuzhou Daily All Media Reporter/Liu Qiong

In the past two days, a news once again focused on the topic of the public. Hunan issued a three -child fertility policy: After delivery, you can take leave until the baby is 1 year old.

An embarrassing reality is that since 2016, the newly born population in Zhuzhou and even the country has declined for years.

Faced with the decreased amount of childbirth, in the past two years, the obstetrics of various hospitals in our city also actively extended the service chain in the "inner volume" and explored new ways.

Breeding peak

"Do you need to book the VIP ward two or three months in advance?" On the morning of June 20, Ms. Li, who was 26 weeks of pregnancy, was confirming to a nurse.

"Now the obstetric ward is plenty of, and there is any." The nurse answered patiently.

This answer makes Ms. Li feel incredible. Five years ago, when she gave birth to the first child, the obstetric ward of major hospitals in the city was almost hard to find. If you want to live in the VIP ward, you have to book a few months in advance, or you have to find a relationship to "walk the back door".

For the previous peak of fertility, Tang Zhengyu, director of the obstetrics department of the Provincial Hospital of Traditional Chinese Medicine, still remembers it.

"2017 is the highest peak of childbirth in our hospital. A total of about 5,200 babies were born in that year, with an average of 14 daily." Tang Zhengyu recalled that one night, she basically did not rest. Clicpoline production surgery.

At that time, in order to cope with the sudden rise in childbirth, the obstetrics department of the Provincial Hospital of Traditional Chinese Medicine continued to expand the ward, add beds, and increased its efforts to "recruit soldiers and buy horses." For a time, the department became the "star" department of the hospital.

Luo Yulan, who was once the director of the obstetrics and gynecology department of the city center, also witnessed the short -term birth peak brought by the two -child policy.

The "Migraphic Inspection of Migraphical Inspection into the Community, Maternal and Child Experts Public Welfare Bank" carried out by the Municipal Maternal and Child Health Hospital. Zhuzhou Daily All Media Reporter/Liu Qiong

In July 2016, the number of obstetrics in the obstetrics department of the central hospital reached 512 cases, and even a record of 8 babies within one hour appeared. Earlier, the average number of births in the obstetrics of the hospital was only about 350 cases per month.

In order to face the peak of the fertility, the beds of the obstetrics department of the Central Hospital of the city center once increased from 65 to 100. Nevertheless, the obstetric corridor is crowded with beds, and even the mother and family brings their own beds.

Why did the "blowout" peak of fertility appeared in those two years?

"At that time, the" full two -child "policy was implemented in the first two years, and the needs of the first batch of two children were released. After the policy was introduced, many couples felt that they could catch one of the tails of childbirth." Many of the "post -70s" couple have two babies. According to statistics, in 2016, the birth of the two children and above accounted for more than 40 % of the total population of the country.

Through this set of data, we can also see the peak of the peak of fertility. In September 2016, in order to solve the problem of insufficient health service resources for maternal and childhood health service resources, the National Health and Health Commission proposed to strengthen the construction of provincial, municipal, and county -level maternal and child health care institutions, add 89,000 obstetric beds, and strive to increase obstetrics during the "Thirteenth Five -Year Plan" period to increase obstetrics. There are 140,000 doctors and midwives.

The amount of childbirth declines

When all medical institutions are rubbing their palms to meet a wave of fertility, the reality is poured like a pot of cold water.

Tang Zhengyu quickly felt the pressure. In 2018, the number of delivery of obstetrics in the Provincial Hospital of Traditional Chinese Medicine suddenly decreased by 20%compared with the previous year. She originally expected that in 2019 (year of the pig), everyone's fertility enthusiasm will rise again, but in the following years, the momentum of the decline in childbirth has not stopped. After the epidemic struck, it was even worse. Data show that last year, the number of childbirth in the hospital was about 2,500 cases, which was "shrink" compared to the peak period.

"It is not an exaggeration to say that it is a cliff -like decline." Mentioning the changes in childbirth in the city in recent years, Gong Juan, director of the Health Department of the Municipal Maternal and Child Health Hospital, felt deeply. According to reports, last year, the number of childbirth in the hospital was about 2,000 cases, less than 70%in 2016.

A industry insiders admitted that "At present, there are only dozens of daily delivery in large comprehensive hospitals in the city, and obstetrics are almost reduced to edge departments."

Data may be more convincing. In 2016, the number of live production of the city (household registration in Zhuzhou) was about 49,900 cases, 48,000 cases in 2017, 40,000 cases in 2018, 35,000 cases in 2019, 29,000 in 2020, 2021 in 2021, in 2021 For 22,000 cases. This means that in 5 years, the total number of new births in our city has fallen by almost half.

This change in Zhuzhou is the same as the overall trend of the country. According to the statistics of the National Health and Health Commission, the number of new births in China from 2016 to 2021 has declined year after year, with 18.83 million, 17.65 million, 15.23 million, 14.65 million, 12 million and 10.62 million.

"If the decrease in the willingness of women's childbirth in 2020 is affected by the epidemic, then the obstetrics have not restored their previous vitality in 2021, which indicates that the decline in fertility rate has become a factor." Tang Zhengyu said.

Why does the amount of childbirth changes so much?

"The number of births is declining, and the decrease in the number of women of childbearing age is the main reason, especially the reduction of women at 20-29 years of age. It also affects the number of births to a certain extent. "Liu Bo, chief of the medical department of the Municipal Maternal and Child Health Hospital, introduced that nowadays, high house prices and high raising expenditures have allowed many young people in the age of childbearing age to" do not want to give birth, dare not dare to give birth. " Essence Citizens are still biased to give birth to baby in large public hospitals

A reality that cannot be ignored is that the fertility rate decreases, and the impact of obstetrics is bottom -up. The reduction of childbirth has made pregnant women more and more concentrated to the top three hospitals, and grass -roots hospitals will be greater.

Taking You County as an example, in 2016, the county's live production was about 10,000 cases, which fell to 3600 cases last year, down 64%.

An industry insider revealed that in the past, almost all township hospitals in our city have carried out childbirth business. But at present, only 4 or 5 township hospitals in the city are still carrying out childbirth services, but their monthly delivery volume is also poor, but there are more than a dozen cases, and there may be only four or five cases.

"With the decline in the overall delivery volume, the pregnant woman who had not been built in the third -level hospital to build a file in the secondary hospital before, can now go to the third -level hospital to have children. Therefore More big. "Huang Li, chief of the Maternal and Child Health Department of the Municipal Health and Health Committee, introduced that at present, the top 5 hospitals in Zhuzhou area occupy half of the city's total number of live production. Three women and children's health care institutions, which shows that the demand for high -quality pediatric medical resources for high -quality products is increasingly prominent.

An interesting phenomenon is that at the same time that the number of mothers in our city is also increasing. Many interviewed doctors said that they rarely saw first mothers who had children twenty -five -year -old, and most of the priced women were about 30 years old.

"The increase in initial production of pregnant women means that the risk of production will increase to a certain extent. From this perspective, the challenges faced by obstetricians are getting bigger and bigger." Tang Zhengyu said.

Actively explore the stretching service chain

On June 18, the "Migraphic Production Inspection Entering the Community, Maternal and Child Experts Public Welfare" event was held in Xiangshuiwan Community, Tianyuan District.

Blood pressure, listening to fetal hearts, high palace high, fetal heart monitoring ... On the same day, many pregnant mothers experienced free product examination. Some quasi -dad experienced the pain in the pain and felt the "pain" of having children.

Many citizens may be emotional, "Now, the production inspection service has been sent to the doorstep?"

When the amount of childbirth continues to decline, the competitive pressure of various hospitals has increased sharply, and the picture of the obstetric "inner roll" is also quietly staged.

"If it is said that in the past few decades, public hospitals mainly solve the problem of whether pregnant women can live in a hospital to have children. Now the contradictions have become how comfortable them are." Huang Li said that at present, the obstetrics of various hospitals are surrounded by " The full maternity cycle service "articles, from prenatal health care, production to postpartum rehabilitation, all hospitals have led the service chain.

For example, in order to meet the needs of maternal dynasties at different levels, the obstetrics of the Provincial Hospital of Traditional Chinese Medicine conducted an overall decoration and renovation of the ward. In July last year, the night clinic was opened, only to allow pregnant mothers to achieve work and check for birth.

In addition, in order to attract the majority of pregnant women to visit, the obstetrics of the hospital also incorporated traditional Chinese medicine medicine into the entire pregnancy medical services of prenatal, during, and postpartum, and provided special diagnosis and treatment plans such as prenatal guidance, production process accompaniment, postpartum rehabilitation, etc., to create a consisting of from Go to baby health full chain service model before pregnancy.

In the past two years, the Municipal Maternal and Child Health Hospital has worked hard to "protect fertility, protect the quality of fertility, and keep fertility." For example, last year, the hospital took the lead in opening a one -to -one service in the city's outpatient housekeeper in the city, and implemented special vehicles, special personnel management, and expert face -to -face exchanges.

In April of this year, the hospital also joined the Beijing Lianci Health Poverty Alleviation Foundation to plan all medical expenses for 3,000 infertility patients in our city each year, so that more infertile families re -ignite hope.

Reporter's note

Medical and medical staff must also "transform and upgrade"

Liu Qiong

"With the implementation of the three -child supporting policy, do you think the fertility rate will increase?" During the interview, the reporter asked many obstetricians.

"It is not what we can decide to be born." Most of the obstetricians answered, and the tone was full of helplessness.

Indeed, it is not a doctor's decision. When the fertility rate has declined year by year, it has become an established fact, and only the "transformation and upgrading" road in front of obstetric medical staff is the road.

The first thing is to change the concept. When a bed is difficult to find, what we have to do is to lower the gesture, from "waiting for people" to "home service", and try to send high -quality medical services to the door of the pregnant woman's house.

Of course, extending the service chain is essential. Only by trying to provide differentiated and refined services to ensure that the service can achieve a place in the smaller market.

Source: Zhuzhou Daily

Review: Luo Xiaoling

Edit: Chen Chen

- END -