申城去年降生23.8万名新生儿，创近十年之最。本市卫生行政部门和医疗保健机构采取一系列措施，确保全人口孕产妇、婴幼儿死亡率继续保持历史低水平。其中包括：推出孕产妇免费享受产前健康体检举措，免费为孕产妇提供9次产前健康体检并将它纳入基本公共卫生服务项目；专门修订下发《上海市孕产妇保健工作规范》，全面加强孕产妇的孕前、孕期、分娩期、产褥期全程系统监测和保健服务，对妊娠风险早发现、早干预。

Shanghai was born last year 238000 newborns,And the most recent ten years.The city administrative department of public health and medical and health institutions to take a series of measures,To ensure that the whole population maternal/Infant mortality keep historical low level.including:Launch the maternal free enjoy prenatal health check-up measures,Free for maternal provide nine times the pre-natal health check-up and put it into the basic public health services;Special revision issued[Shanghai maternal health care work specification],Strengthen the maternal pregnant/pregnancy/term/The whole system in puerperium monitoring and health care service,The risk for early detection of pregnancy/Early intervention.

每位孕妇分类管理 Each classification management of pregnant women

　　上海创新推出的孕产妇妊娠风险预警评估体系，用5种相应颜色作为预警标识，对每位孕妇在孕早、中、晚期产前检查时发现的情况进行相应保健指导，并做好安全分娩的分类管理。

Shanghai innovation launched the maternal pregnancy risk early warning evaluation system,Using five corresponding color as early warning signs,To every pregnant women in early pregnancy/in/Late prenatal care found that of the corresponding health guidance,And make safe delivery classification management.

　　例如绿色标识者(正常孕妇)，提供孕中、晚期和分娩前3次随访；黄色标识者(低风险孕妇)，每月随访一次，随访主要内容为追踪重点孕妇转诊单或重点孕妇报告单确诊结果、了解孕妇孕期动态变化并督促其定期产检及住院分娩等。绿色和黄色标识孕妇孕期由辖区社区卫生服务中心负责随访管理。

Such as the green logo(Normal pregnant women),Provide pregnancy/Late three times before delivery and follow-up;Yellow identification is(Low risk pregnant women),Once a month follow-up,The main content for the follow-up tracking key pregnant women referral single or key pregnant women report the result/To understand the dynamic changes of pregnant women during pregnancy and urge his regular production inspection and inpatient delivery, etc.Green and yellow identification by pregnant women pregnancy jurisdiction of community health service center is responsible for the follow-up management.

　　而对橙色标识的孕妇(为妊娠合并症病情较重)，原则上应在二级或三级综合性医疗机构进行产前监护，直至分娩；若为疾病严重、继续妊娠可能危及孕妇生命的红色标识者，原则上应在三级综合性医疗机构诊治，病情危重者需及时转本市危重孕产妇会诊抢救中心救治；紫色标识者(为妊娠合并严重传染病)则需转诊至上海市公共卫生临床中心。橙色、红色、紫色标识孕妇为高风险孕妇，除由医疗机构管理外，辖区妇幼保健所每月进行随访。

But to orange logo of pregnant women(Pregnancy complications for the illness is heavy),In principle, should be in the secondary or tertiary comprehensive medical institutions for prenatal care,Until delivery;If the disease is severe/Continue to pregnancy may endanger the life of red logo is pregnant women,In principle, should be in tertiary comprehensive diagnosis and treatment of medical institutions,The critical illness to turn the city in critically ill maternal consultation rescue center treatment;Purple identification is(For pregnancy with severe infections)Will need to referral to the Shanghai public health clinical center.orange/red/Purple mark pregnant women at high risk for pregnant women,In addition to the outside the administration of medical institutions,Jurisdiction maternity and child health-care station monthly follow-up.

危重孕产妇报告制 Maternal BaoGaoZhi critically ill

　　为更好地救治危重孕产妇，上海还集全市优质医疗资源，实施了“危重孕产妇报告制”。一旦某医院发生危重孕产妇紧急情况需要专家会诊、实施转院或抢救治疗时，市卫生局将立即进行协调与安排，在第一时间开展救治工作，力求将孕产妇的危害风险降低到最低限度。5年前陆续创建于仁济医院、儿科医院等医院的5家“危重孕产妇会诊抢救中心”和6家“危重新生会诊抢救中心”，则继续为抢救危重孕产妇和新生儿发挥重大作用。据最新统计，2012年，5家危重孕产妇会诊抢救中心共救治危重孕产妇345例，成功率达98.84%；6家危重新生儿抢救中心救治4690例危重患儿，抢救成功率达91.45%。

For better treatment of maternal critically ill,Shanghai also set the high quality medical resources,implemented"Maternal BaoGaoZhi critically ill".Once a hospital in critical happen maternal emergency need specialists/Implementation of a hospital or rescue treatment,The municipal bureau of health, it will immediately coordination and arrangement,In the first time to carry out treatment work,The harm of the maternal striving to reduce risk to a minimum.Five years ago were established in yan chai hospital/Pediatric hospital and the hospital five"Critical maternal consultation rescue center"And six"Critical new consultation rescue center",Continues to for rescue critical maternal and neonatal plays a major role.According to the latest statistics,In 2012,,Five critical maternal consultation rescue center were critically ill treatment of 345 cases of maternal,Success rate was 98.84%;Six critical neonatal rescue center treatment of 4690 cases of critically ill children,The effective rate was 91.45%.

　　同样值得一提的是，面临生育高峰来临、许多孕产妇又愿意选择到市级专科医院分娩的现状，复旦大学附属妇产科医院、上海市第一妇婴保健院和中福会国际和平妇幼保健院，自去年下半年起每家医院都陆续增设了100张床位，在一定程度上缓解了孕妇“建卡难”“生产难”的矛盾。(记者 施捷 特约通讯员 宋国梵)

Is also worth noting,Faced with baby boom coming/Many maternal and would like to choose to the present situation of municipal hospitals delivery,Fudan university hospital/Shanghai first penetration in the health care center and ZhongFuHui international peace mother and child care courtyard,Since the second half of last year the every hospital in all added 100 beds,To a certain extent, ease the pregnant women"JianKa difficult""Production difficult"contradiction.(Reporter ShiJie stringer song brahman)