11 October is World Pain Analgesic Day .
Recently, a press conference on the " Painless Born Charity Action" held in Beijing released a set of data: 36% of people do not understand or have only heard of painless childbirth, and there is a cognitive gap.
It has been 4 years since the nationwide pilot work on childbirth analgesia. National Health Commission Head of the expert working group for childbirth analgesics in m Weidong introduced that as of 2020, the penetration rate of more than 900 pilot hospitals across the country has reached 53%. However, the survey data shows that although 82% of people expressed their willingness to choose painless childbirth, the overall popularity of painless childbirth nation is only 30%, and nearly 70% of women still suffer from labor pain.
"Anesthesia is a discipline that has emerged in humans to overcome pain. We call on multiple parties to work together to create a Chinese solution for childbirth analgesia, so that more women can give birth more comfortable and dignified." said Huang Yuguang , director of the National Anesthesia Professional Quality Control Center and chairman of the Anesthesia Branch of the Chinese Medical Association.
National birth analgesia pilot work for 4 years, with the penetration rate of more than 900 hospitals exceeding 53%
In November 2018, the National Health Commission issued the "Notice on Carrying out the Pilot Work for the Analgesia of Childhood". Since 2018, more than 900 hospitals across the country have set up pilot bases for childbirth analgesia.
"In the past four years of pilot project, the overall analgesia rate of more than 900 pilot hospitals has reached 53%, achieving very good social effects." At the meeting, Mi Weidong shared the current popularity of childbirth analgesia in my country: As of now, in the pilot base of comprehensive hospitals, the proportion of childbirth analgesia has reached more than 40%, while in maternal and childbirth specialty hospitals, the proportion of childbirth analgesia has reached more than 85%, and the feelings of pregnant women during the delivery process have been significantly improved. However, compared with the penetration rate of 80%-90% in international developed countries, there is still a big gap.
Mi Weidong, head of the National Health Commission's Expert Working Group for the Analgesia of the Delivery of the Delivery Analgesia Pilot. All pictures in this article are provided by the doctor's newspaper.
In August this year, the National Health Commission and 17 other departments issued the "Guiding Opinions on Further Improving and Implementing Active Reproductive Support Measures ", which specifically proposed to expand the pilot project for the analgesia of the delivery and improve the level of the delivery.
While strengthening policy guarantees, some regions have taken the lead and included the costs related to painless childbirth in the medical insurance scope. In May this year, Zhejiang Province issued the "Notice on Helping "Zhejiang Have Good Education" to Promote Eugenics and Excellent Parenting", which included childbirth and analgesia in the scope of basic medical insurance payment. In addition, many places such as Jiangxi, Shanghai, and Guizhou have successively included painless childbirth in medical insurance.
"Currently, the main form of labor analgesia, natural childbirth or cesarean section is charged, which leads to the more labor analgesia work carried out, the more compensation is also paid, objectively causing the hospital to be unwilling to actively carry out labor analgesia medical services." Huang Yuguang suggested that labor analgesia should be included in the independent medical insurance payment, and medical institutions should be encouraged to actively carry out labor analgesia, and reduce the concerns and financial burden of women with childbirth.
Huang Yuguang, Director of the National Anesthesia Professional Quality Control Center and Chairman of the Anesthesia Branch of the Chinese Medical Association 436% of the people have cognitive gaps, and the cognition of painless childbirth still needs to be improved
00 The national labor analgesic pilot work has been carried out for 4 years. What is the public's current cognitive status and needs for painless childbirth?
According to the "2022 World Pain Analgesic Day Survey Report" released at the meeting, many people still lack awareness of painless childbirth, and 36% of people do not understand or have only heard of painless childbirth. The public's misunderstanding of painless childbirth is still very deep. 21% of respondents believe that taking painless will affect the health and growth of the fetus, and 21% of respondents believe that taking html without pain will leave sequelae for pregnant women.
"2022 World Pain Analgesic Day Survey Report"
At the same time, the survey report shows that economic burden has also affected the popularity of painless childbirth to a considerable extent. 15% of respondents believe that the economy can afford to popularize painless childbirth, and called for various measures including medical insurance and popularization of science. To this end, Zhejiang Women and Children's Foundation and Babycare jointly initiated and established the "Babycare White Shell Care Special Fund" to help the first batch of 100 expectant mothers in need, and exempt the cost of childbirth analgesia.
, Director of the Department of Anesthesiology, and Director of the Department of Pain, Peking University International Hospital, said that childbirth analgesia is already a very mature and safe medical technology, and has successfully helped 40% (ordinary cities) to 80% (big cities) who meet the conditions for natural childbirth to relieve pain of more than 60%-90%.
"The unfamiliarity and misunderstanding of painless childbirth should not be a reason for women to bear pain." In the view of Zhang Yanping, executive president and executive editor-in-chief of the Physicians' newspaper, painless childbirth is an important manifestation of modern fertility civilization. To increase the national penetration rate requires the formation of a joint force among all parties and jointly promote it.
"Birth and analgesia is not only a caring choice, but also a healthy choice." Peking Union Medical College Hospital Anesthesiology Department and the Standing Committee of the Day Surgery Anesthesia Branch of the Chinese Society of Cardiothoracic and Vascular Anesthesia Society pointed out that labor pain will not only bring strong painful feelings to the mother, but will also increase the health risks of the mother and even the fetus.
source/Pengpai News
editing/Liu Bin
review and signing/Qiao Hong
supervisory producer/Xi Shujun
