2024年北京市朝阳区危重孕产妇急救演练督导服务现状调查

Objective To investigate the current status of critical pregnant and parturient emergency drill supervision services in maternity institutions of Chaoyang District of Beijing in 2024, summarize data from different stages, and provide evidence for optimizing maternal critical care. Methods A total of 20 maternity institutions in Chaoyang District were included. Supervised emergency drills for critical pregnant and parturient women were conducted, with assessment indicators set for obstetrics, anesthesia, intensive care unit(ICU), cardiopulmonary resuscitation, and defibrillation. The number of deductions in each stage was recorded, and score differences across institutions were analyzed. Results The total number of deductions among institutions ranged from 8 to 46, with an average of 21.7. By stage, there were 113 deductions in obstetrics, 41 in anesthesia cases, 101 in ICU cases, 50 in anesthesia-related CPR, 71 in ICU-related CPR, and 58 in defibrillation. In terms of institutional distribution, 6 institutions had ≤12 deductions, 2 had 13～16 deductions, and 12 had ≥17 deductions. Conclusion Overall, the supervision of emergency drills for critical pregnant and parturient women in Chaoyang District was carried out satisfactorily, but deficiencies remain in specific stages. Problems were most prominent in obstetrics and ICU-related procedures. Particularly, private institutions showed obvious gaps in critical care and emergency skills. Strengthening training, standardizing procedures, and improving the reserve of medicines and equipment are recommended to further enhance the quality of maternal rescue.