1. The obstetrician structure is unreasonable.
2. The quality of obstetric medical records is poor.
3. There are fewer midwives in hospitals.
4, the doctor's "three basics" assessment is not up to standard.
According to the existing problems, combined with the actual situation of our hospital, and compared with the requirements of Basic Standards for Model Obstetrics and Evaluation Standards for Baby-friendly Hospitals, the leaders of our hospital actively deployed the evaluation and evaluation work, held an evaluation meeting for "Baby-friendly Hospitals" to make work arrangements, raise awareness, unify thinking, check and rectify the evaluation standards one by one, and supervise the implementation, so as to make the work of baby-friendly hospitals reach a new level. The specific rectification measures are as follows:
1. Strengthen the long-term management of baby-friendly hospitals, establish and improve management organizations and rules and regulations, and conduct regular inspection, evaluation and analysis.
2. In terms of personnel structure, it is necessary to strengthen the theoretical and professional knowledge training of on-the-job medical staff. At present, our hospital has arranged a new student to go to the Department of Obstetrics and Gynecology of the Second Hospital of Xuzhou for a two-year standardized study, which enriched the professional ability and technical level of the staff of obstetrics and gynecology.
3. Strengthen the standardized writing of medical documents and the study of professional skills of obstetricians and gynecologists, standardize obstetric medical records in strict accordance with the requirements of Shandong Medical Records Writing Standard, Model Obstetrics Basic Standard and Baby-friendly Hospital Evaluation Standard, strengthen the quality supervision of obstetric medical records, point out problems in time, and make rectification within a time limit.
4. Strengthen the study and assessment of doctors' "three basics" and "three strictness", and punish those who fail the assessment according to the relevant regulations of our hospital, and those who fail for three times in a row will wait for their posts.
5. Further strengthen the publicity of baby-friendly hospitals, launch publicity to guide pregnant women within their jurisdiction to give birth in our hospital, and guide pregnant women from other places to give birth in our hospital as much as possible.
6. Improve the theoretical knowledge and professional technical ability of obstetricians and gynecologists, strengthen service awareness, improve service attitude, and further improve the comprehensive satisfaction of pregnant women.
Improvement measures of baby-friendly hospital [2]
According to the requirements of the Notice of the Municipal Health Bureau on Carrying out the Management Evaluation of Baby-friendly Hospitals, our department has formulated corresponding rectification measures for the evaluation of baby-friendly hospitals, as follows:
1. Strengthen study and management, make detailed breast-feeding work plan, make irregular inspections by department directors and head nurses, improve the awareness of department staff on the importance of breast-feeding knowledge, increase publicity on pregnant women's related knowledge, and record and improve measures.
2. The department should strengthen the pre-job training of breast-feeding knowledge for new recruits and conduct assessment. Only after passing the exam can they take up their posts. Senior medical staff should do a good job of inheritance, help and care, so that young medical staff have enough confidence to master breastfeeding knowledge. And regularly train each medical staff on breast-feeding knowledge, at least 1 time every year, for more than 3 hours each time.
3. Make pregnant women understand the importance of early contact and early sucking and the benefits of breastfeeding through active breast-feeding knowledge education.
4. Improve the ability of obstetricians to identify neonatal diseases at an early stage. Ask pediatricians to give lectures and training, and gradually improve the ability of obstetricians to identify neonatal diseases at an early stage.
5. The school for pregnant women works well. Overcome the shortage of manpower, increase the training hours of pregnant women's schools, strengthen the propaganda of maternal breastfeeding knowledge and the benefits of natural childbirth, and adjust the teaching methods and forms to make pregnant women more acceptable and convenient.
6. Strictly grasp the indications of cesarean section, and resolutely control the non-medical need for cesarean section.
7. Increase the publicity of breastfeeding. In obstetrics and gynecology clinics, wards, waiting areas and public areas, layout, publicity materials and other publicity activities are rich in content.
Various forms, more pregnant women and good social benefits. Ten standards for promoting the success of breastfeeding, regulations on breastfeeding in hospitals and the international marketing code of breast-milk substitutes are posted in obstetric clinics, pediatric clinics, delivery rooms, wards and neonatal rooms, and medical personnel are required to master these standards.
8. During the World Breastfeeding Week every year, our hospital organizes relevant personnel to take to the streets to carry out publicity and education on the benefits of breastfeeding and distribute breastfeeding publicity materials.
9. Put the responsibility on people. After cesarean section and one hour after delivery, the medical staff will guide the mother and baby to touch and suck the skin. After returning to the ward, the responsible nurse will further guide the techniques and skills of breastfeeding until the mother fully grasps the knowledge of breastfeeding.
10. Incorporate breastfeeding into routine nursing work, and guide lying-in women on correct breastfeeding skills and methods of milking and lactation.
After the last review, our hospital has a deeper understanding of baby-friendly hospitals, which has effectively promoted the improvement and improvement of the management of baby-friendly hospitals in our hospital. I hope leaders at all levels will further support our work.
Department of Obstetrics and Gynecology, Zhangzi County Hospital of Traditional Chinese Medicine 2065438+July 6, 2007