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Abstract To explore the construction and the operation current status of the maternal near miss rescue network in Haidian district of Beijing. Methods: The “cases registration forms of the high risk or the near miss pregnant and lying-in women referral to the designated hospital in Haidian district” submitted by three maternal near miss rescue centers of Haidian District from 2020 to 2022 were summarized and analyzed. Results: From 2020 to 2022, the proportion of the high risk or the near miss pregnant and lying-in women in Haidian district had increased from 16.16% to 27.34% (χ2trend=923.56, P<0.001). The two-way referral rate by the maternal near miss rescue network in Haidian district had increased from 47.02% to 59.21% (χ2trend=26.03, P<0.001). The number of the monthly bed turnover of the three maternal near miss rescue centers was significantly higher than that of the lower-level midwifery institutions, and the allocation of the obstetric medical staff of the three maternal near miss rescue centers was also relatively few. The incidence rate of the high risk or the near miss pregnant and lying-in women in the lower-level midwifery institutions had decreased from 3.23‰ to 1.45‰ (χ2trend=8.81, P=0.003) and the maternal mortality rate in the lower-level midwifery institutions also had a decreasing trend (χ2trend=4.25, P=0.039). Conclusion: The operation effect of the maternal near miss rescue network in Haidian district of Beijing is relatively ideal, which has reduced the rates of the occurrence and the mortality of the high risk or the near miss pregnant and lying-in women. In the next step, the regional resource allocation should be strengthened and the information feedback and the personnel service capacity should be improved by relying on the application of the cloud women and children service platform.
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