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助产士匮乏助推剖宫产率走高 认识误差致招生遇冷--亲稳网络舆情监测室
2012-07-31
医院助产士奇缺 学校招生却遇冷 The hospital midwife scarce school enrolment is met with cold
昨日下午6时半,广州某医院分娩室内,一名男婴经32岁的助产士陈丽(化名)之手顺利降生。
Six and a half when yesterday afternoon,Guangzhou some hospital childbirth indoor,A baby boy in the 32 years old midwife Chen(aliases)Hands smooth was born。
陈丽熟练地剪断脐带,把男婴抱上远红外线保暖床,并进行清理、称重、按脚印,又快步冲回产床,清理产妇的脐带和胎盘。
Chen proficiency in umbilical cord,Hold the baby on the far infrared ray warm bed,And to clean up、weighing、According to the footprints,And quickly dashed back to ChanChuang,Cleaning women umbilical cord and the placenta。
这一天,共有3名婴儿从陈丽手中诞生,若从11年前当助产士的第一天算起,经她手出生的孩子已超过1000名。
The day,There were three babies born from Chen hands,If 11 years ago when midwife from the first day of the count,After her hand was born children already more than 1000。
直到今天,老资格的陈丽仍感到不堪重负。她与18名同事共同承担着医院每年约6000名产妇的分娩工作。医院年年问学校要人,但毕业生总是供不应求。
Until today,Senior Chen still feel overwhelmed。Her colleagues with 18 to undertake the hospital every year about 6000 of these delivery work。Year after year hospital asked schools VIP,But graduates are always in demand。
据统计,我国每年助产专业毕业生不足5000人。为了在一定程度上满足医院需求,广州卫生学校今年起免试招收高中毕业生入读助产专业,计划招生60人。不过,信息放出已有一段时间,报读人数却尚未过半。
According to the statistics,China's annual birth less than 5000 graduates。In order to meet the demand, to a certain extent, hospital,Guangzhou health school this year an exemption for high school graduates into read professional practice,Plan recruit students 60 people。but,Information has been released a period of time,Sign up for more than half the number did not yet。
现象 phenomenon
剖宫产率走高 助产士缺乏是原因之一 Cesarean section rate was go high birth attendants lack of are one reason
“我国剖宫产率为46.5%,高居世界第一,远超世界卫生组织所设15%的警戒线。”一个月前,148名来自全国9省区的助产士齐聚广州,参加广东省助产士核心能力临床师资培训班。广州市妇产科研究所所长、广州市重症孕产妇救治中心主任陈敦金在培训班上透露,从上世纪70年代的5%到现在接近50%,我国剖宫产率30多年增长近10倍。
“Our country cesarean section rate was 46.5%,At the world first,Far more than the world health organization established by 15% of the tipping point。”A month ago,148 the midwife from the national nine provinces in guangzhou,Core competence in guangdong midwife clinical teacher-training class。Guangzhou, director of obstetrics and gynecology、Guangzhou severe maternal treatment center director ChenDui gold in disclosed on training course,From the 1970 s to 5% now close to 50%,Our country cesarean section rate was more than 30 years growth nearly 10 times。
剖宫产率飙升的背后是自然分娩率的持续走低。陈敦金认为,在自然分娩中扮演着“保驾护航”角色的助产士的匮乏,是造成这一现状的重要原因。
Cesarean section rate was rising is behind the natural childbirth keep falling。ChenDui gold think,In natural birth plays“escort”The role of the lack of midwife,Is this a cause of the present situation of the important reasons。
的确,数据显示我国助产士与生育年龄妇女的比例仅为1:4000,这与发达国家的1:1000差距悬殊。同时,我国每年助产专业毕业生不足5000人,在现有的助产队伍日渐老化的情况下,更新换代的动力更显不足。
indeed,Data showed that our country midwife and women of childbearing age ratio to be only 1:4000,This and the developed countries of the 1:1000 gap。At the same time,China's annual birth less than 5000 graduates,In the existing practice team its aging cases,Renewal power more show deficiency。
这让许多生殖医学专家十分忧心:“分娩是人类繁衍生息必然的生理过程,产妇和胎儿都具有潜力主动参与并完成分娩过程,剖宫产只是解决难产和重症高危妊娠、高危胎儿需要终止妊娠的方法。”专家认为,高企的剖宫产率不可避免地影响我国下一代的整体健康水平。
This let many of reproductive medicine has so worried experts:“Delivery is born and lived the inevitable human physiological processes,Mothers and the fetus has the active participation of potential and complete the process of delivery,Cesarean section just solve during childbirth and critical high-risk pregnancy、High-risk fetal need to terminate gestation method。”Experts say,High cesarean section rate was inevitably affect the health level of the next generation。
世界卫生组织的研究报告曾指出,在没有医学必要的情况下,选择剖腹产的产妇患严重并发症的风险增加3倍,患重症的几率增高10倍。此外,第一胎是剖腹产的妈妈,如再次怀孕,就成了高危人群,绝大多数人只能选择剖腹产,否则容易造成大出血。
The world health organization report had said,In no medical necessary conditions,Choose a cesarean section with the risk of serious complications mothers increased three times,In a higher risk of 10 times。In addition,The first baby was born by caesarean section of the mother,If pregnant again,Became a high-risk groups,Most people can choose only cesarean section,Otherwise easy to massive haemorrhage。
而对于新生儿而言,自然分娩是母亲送给宝宝的第一份珍贵的“生命礼物”:不经过产道挤压的新生儿,通常以后的手眼协调能力比较弱,脾气容易急躁,注意力不容易集中,患多动症及自闭症几率比较高,医学上称之为“感觉统合失调症”。此外,多年的医学研究证明,2%—3%的剖腹产新生儿呼吸系统不那么好,日后容易患哮喘。
And as for newborn babies,Natural birth mother gave the first baby is precious“Gift of life”:Don't through the birth canal of extrusion newborn,Usually later eye-hand coordination are weak,Hasty temper easily,The attention is not easy to focus,With A.D.H.D. and autism risk is higher,Medicine called“Feel gathered the disorder”。In addition,Years of medical research proof,2%-3% of neonatal respiratory system cesarean section is not so good,Future likely to suffer from asthma。
可见,将剖腹产率警戒线设定为15%,并不是世界卫生组织的凭空臆想。目前,欧美诸国剖腹产率均在警戒线以下,瑞典甚至只有10%。
visible,Will cesarean section rate set to 15% cordon,And is not the world health organization's just guesswork。At present,Europe and America are at the police states cesarean section rate below,Sweden even only 10%。
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