ABSTRACT
Objective To understand the implementation and application situation of Hierarchical Diagnosis and Treatment Guidelines of Obstetrics in Sichuan Province (version 2016).Methods The sampling survey was performed on the obstetric medical staffs from the various medical institutions in whole province by the questionnaire survey and on-spot investigation,and some tertiary hospital experts were interviewed.Results A total of 2015 valid questionnaires (93.85 ％) were received.Among them,1 369 people (77.7 ％) read the Guidelines;1 752 (95.0 ％) people thought that the Guidelines had practical operability in their hospitals;the causes considering that it had no practical operability were mainly disagree with referral by pregnant women or their family members,cumbersome referral,beds tension in superior hospital,etc.Improper referral sequencing was improper diagnosis and treatment during the referral process,non-standardized referral process,improper referral timing,no referral indications and so on.Conclusion The Guidelines promote the progress of obstetric hierarchical diagnostic and treatment work.It is necessary to strengthen the training of grassroots medical personnel and strengthen the management,supervision and assessment of referral.