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In fact, the Internet medical industry entered a bottleneck period in previous years. Policy restrictions are on the one hand, and the industry itself has many problems to be straightened out. For example, Internet medical care has at least two problems that cannot be ignored, namely, the quality and safety of medical care. Considering the particularity of medical behavior, for example, western medicine needs to see, touch and listen, Chinese medicine needs to look, hear and ask questions, and the diagnosis and treatment mode of face-to-face communication is ruled out. What is the accuracy of Internet medical diagnosis results? Accuracy-based medical safety geometry? In other words, does Internet medical care have the possibility of first consultation?

In this regard, Zhu Hengpeng, director of the Public Policy Research Center of China Academy of Social Sciences, said after the State Council issued the Opinions on Promoting the Development of "Internet+Medical Health" that this restriction was to ensure the quality and safety of medical services, which reflected the highly cautious attitude of the Health and Health Commission. However, he also pointed out that it is not that the first Internet consultation must surpass the first offline consultation in terms of safety and service quality, and it should be allowed by the policy. Instead, it should be judged whether the first Internet consultation is not inferior to the first offline consultation under the conditions of comprehensively weighing the four factors of improving the accessibility of medical services, reducing costs, improving efficiency and ensuring quality. In addition, in addition to quality and safety issues, Internet medical care still needs to be improved.

First, the relevant laws and regulations are not perfect and lack effective supervision.Internet medical treatment is still a new industry. At present, some laws and regulations are not perfect, which makes the Internet medical treatment industry lack comprehensive and effective supervision and restriction. For example, information security issues such as privacy leakage that may exist in the use of consulting services, telemedicine and mobile medical equipment need to establish a set of privacy protection laws and regulations that are suitable for the national conditions.

Second, some medical institutions hold a wait-and-see attitude towards "Internet+medical care".The main purpose of "Internet+medical care" operation is to solve the contradiction between the imbalance of medical services and the growing demand for health services by the masses. However, the current medical institutions, especially public medical institutions, are unable to let go of medical talents, and the conservative wait-and-see between departments has restricted the development of "Internet+medical care" to some extent.

Third, doctors’ "pain points in practice" need to be concerned.At present, most online doctors are still organizations with the status of compilation, and online "sharing" may mean offline "loss". There is still a long way to go to realize the combination of online and offline doctors, and to ensure that patients can easily obtain electronic prescriptions while online diagnosis and treatment, so as to complete the purchase of drugs.

Although there are still many places that need to be improved and perfected, Internet medical care still has great development potential in the long run. If Internet medical care does not stop at a short-lived prosperity during the epidemic, it must try its best to overcome various obstacles that affect long-term development. Its core lies in the efforts to promote the multi-party linkage development environment of medical institutions, doctors, Internet companies, etc., to form a complete and standardized closed-loop medical service and realize real "digital health".

In the future, Internet medical care should strive to grasp the demands of all parties and take demand as the source of development.There are still many pain points in China’s traditional medical service system, such as difficult and expensive medical treatment, and the demands of all participants for Internet medical care are obvious. In this context, Internet medical enterprises need to think from the perspective of users’ needs, and seek application models and business models centered on users’ needs in the fields of medical services, public health, medical security and drug management.

The smart medical service model of "big data+artificial intelligence" will play an important role in promoting the development of Internet medical care. Intelligent medical products integrate disease monitoring, health management and decision-making, which can realize the interaction between patients and medical personnel, medical institutions and medical equipment, and gradually achieve informationization. I believe that in the near future, Internet medical care will be integrated with more high technologies such as artificial intelligence and sensing technology, so that medical services will become truly intelligent.

　　The large-scale island dating reality show "Love on the Island" created by the local team of Guangdong Satellite TV, which carries the positive energy of a new generation of young people’s love and dating, has also set off a wave of island tourism. Starting from the idea of building the Belt and Road tourism development in China, the program shows the vigorous vitality of contemporary youth in China to the world by integrating the beautiful scenery of Southeast Asian islands along the Maritime Silk Road with guests.

　　What is worth looking forward to is that this large-scale island dating reality show "Love on the Island" will be held onThis Saturday at 22:00Meet with you again, Manado!

　　With the deepening of the third lens, we not only gradually unveiled the mysterious veil of this charming island Manado, but also with the further promotion of the emotional line of the program, the emotions of the nine guests also collided with fierce sparks. "In today’s society, there is not much love full of positive energy, especially the romantic performance of Luo Yun and Fang Lan in the program, which seems to see themselves who worked hard for love in the past." Netizens expressed their views after watching the third program.

　　What wonderful clips have appeared in this issue of "Love on the Island" that make netizens sigh so much? Let’s find out!

　　The choice between friendship and love? River valley rafting staged a heart-wrenching test

　　In the third episode just aired, we experienced the turbulent side hidden in the beautiful jungle of Mina-the drifting of Baishui River. At the beginning of the program, nine guests need to try their best to compete for the air pump of the hull. The quick-eyed Lincoln and Yu Wen won the most efficient air pump and were the first to prepare the hull for sailing in the envious eyes of all the guests.

　　Lincoln and Yu Wen, who have fully proved their strength, are bathed in the joy of victory. At this point, an embarrassing thing has attracted people’s attention. It turned out that the sunrise, Romeo and Luo Yun simultaneously extended a helping hand to Lincoln. On the one hand, he is a good buddy on the road, and on the other hand, he is a sweetheart who doesn’t agree with himself but always has hope, which makes Lincoln fall into deep hesitation. In order to make the beloved person not so hard, this balance finally leans towards the group of Guan Xi. He handed the air pump by himself and told Bian Ce, Guan Xi’s partner, "Don’t let Guan Xi work so hard in the next link", which showed his full manly charm.

　　Old love is still the most beautiful! Island owner Yang Sen said with emotion after witnessing the whole process. From the acquaintance on the uninhabited island in the first phase to the stumbling in the tropical rain forest in the second phase, this is actually the projection of many young people making friends in tell it to the judge today. The female guest Yan Xi dares to love and hate, and the male guest Lincoln bravely strives for love. This scene also conveys to the audience a positive view of love, which is full of feelings and is told in a creative reality show way.

　　Luo Kai falls in love "Xiuluochang" and sounds love alarm along the dangerous river.

　　At the end of the canyon drifting, such an unexpected plot happened.

　　In the dangerous and fast-flowing Baishui River basin, the competition among nine guests has also been heated up. At this time, the sky darkened in an instant, and the rainstorm suddenly came. The river was like a tap that was opened wide in an instant. The unprepared guests had to go ashore to find ropes under the guidance of experienced boatmen and planned to cross the Baishui River.

　　"At that time, the current was particularly urgent. If you step on the air carelessly, the consequences will be unimaginable." This is the guest’s pertinent evaluation of the danger at that time. However, at this time, an awkward atmosphere spread quietly among the people. When the guest partners helped each other down the hillside to cross the river, Luo Kai, a male guest, left his partner Fang Lan to help Rong Rong because of carelessness or ulterior motives. The female guest who noticed something was wrong immediately called Luo Kai back to help his partner Fang Lan, while Fang Lan, a "female man" at this time. At that time, the delicate relationship between the two suddenly fell into an unprecedented crisis.

　　Romantic banquet table true feelings fancy love explodes the girl’s heart

　　This week, "Romantic Dinner" was launched again. As a "mysterious person", Liu Han revealed his views on love for the first time through poetry. "I have a heart willing to make green leaves for you." He has always been a guest of dark line observation. At this moment, he also presented meaningful flowers to four female guests to show his affection for one of them.

　　The most appetizing thing is that male and female guests choose each other to talk, which is the first time that male and female guests have opened their hearts since the broadcast. The male guests started the age of love mode one after another. Lincoln first sang a song "Little Lucky" and invited Xian Xi to have a profound dialogue. The two finally solved the entanglement in their hearts and exchanged gifts to make a deep friendship. Not to be outdone, Romeo, an Italian man, extended an olive branch to his partner Rong Rong, walked barefoot on the grass, gave a shell necklace and other "Italian" confession methods to win Rong Rong’s heart;

　　The plot of Luo Kai and Fang Lan’s reconciliation of grievances makes the love of this program warm up to the highest point. Fang Lan, who was angry with Luo Yun before, took Bian Ce as the object of heart-to-heart. However, Luo Yun’s sudden appearance stopped the dialogue between them, and the two of them quarreled as a bee in the night. The impatient Luo Yun posed a love with a personal photo on the grass. "You only have yourself in your world," Fang Lan complained, "but when there is another person in the middle of love, it may be different."

　　There is loss, hesitation, mixed with happiness and romance, which may be the truest embodiment of today’s young people’s love. The love tree between guests has set a benchmark for making friends with positive energy. Love on the Island meets you at 22:00 every Saturday night in Manado Island! Stay tuned!

　　BEIJING, March 6 (Zhongxin Finance Xie Yiguan Shao Wanyun) How do you view the economic growth target of around 5%? What is the price and employment situation this year? How to play the pulling role of "Troika"? How to ensure food security and energy security?

　　On the 6th, the State Council Office held a series of press conferences on the theme of "Opening by Authoritative Departments". Zhao Chenxin, Li Chunlin and Yang Yinkai, deputy directors of the National Development and Reform Commission, attended and responded to many hot issues.

　　Talk about GDP

　　— — The expected target of about 5% is in line with the trend of economic operation.

　　The government work report puts forward the main expected targets for this year’s development, in which the GDP will increase by about 5%.

　　In Zhao Chenxin’s view, the expected target of about 5% conforms to the trend of economic operation and the law of economic development, and is also conducive to guiding all parties to pay more attention to improving the quality and efficiency of economic development, accelerating the construction of a new development pattern and promoting high-quality development.

　　"We have made statistics and analysis. Among the 31 provinces, autonomous regions and municipalities, 27 provinces have higher expected targets than the whole country, among which 23 provinces have 5.5% or above. The development confidence and pragmatic measures taken by various localities have created conditions and laid the foundation for the realization of national goals." Zhao Chenxi said.

　　Talk about prices

　　— — Have confidence and ability to achieve the expected goal of CPI this year.

　　According to the government work report, the main expected target of CPI for the whole year is an increase of about 3%.

　　"This year, due to geopolitical conflicts, imported inflation risks and other multiple factors, domestic price operation still faces some uncertain and unstable factors." Li Chunlin said, but we must see that China’s grain has been abundant for 19 years, and it has remained above 1.3 trillion Jin of grain for many years. The bumper harvest of grain is the biggest "ballast stone" for us to ensure stable prices.

　　"At the same time, the pig production capacity is reasonable and abundant, the commodity supply is sufficient, the energy security is strong, and the system of ensuring supply and stabilizing prices is further improved. It can be said that the foundation for maintaining the stable operation of prices is very solid, and we have the confidence and ability to achieve the expected goal of CPI this year. " Li Chunlin said.

　　Video: National Development and Reform Commission: Have confidence and ability to achieve the expected target of CPI this year. Source: China News Network.

　　Talk about consumption

　　— — It is predicted that consumption will become the main driving force of economic growth this year.

　　Final consumption is the lasting driving force of economic growth. At the national level, it has been repeatedly emphasized that restoring and expanding consumption should be given higher priority.

　　Li Chunlin pointed out that from the consumption figures during the Spring Festival, China’s consumption has accelerated since the beginning of the year. At present, some uncertain factors restricting the release of consumption are gradually being eliminated. With the rapid release of consumption potential, the growth rate of major indicators in the consumption field is expected to gradually pick up in the first half of the year. Looking forward to the whole year, consumption can become the main driving force of economic growth and better play a fundamental role in economic growth. This is a prediction of the consumption situation this year.

　　"In the new year, there are many policy tools in our policy toolbox to deal with the unfavorable factors that restrict consumption. We have the confidence and ability to ensure the implementation of measures to promote consumption this year, and make consumption make greater contributions in the annual growth rate of about 5% of GDP. " Li Chunlin said.

　　Talk about investment

　　— — Further strengthen the key role of investment in optimizing the supply structure

　　In terms of investment, Yang Yinkai said that this year, we will continue to do a good job in expanding effective investment, solidly promote the construction of major projects, effectively promote the investment of the whole society through government investment and policy incentives, focus on consolidating the good momentum of steady growth of infrastructure investment and manufacturing investment, and further enhance the key role of investment in optimizing the supply structure.

　　According to Yang Yinkai, focus on the following four aspects: First, focus on short-board areas and weak links, and accelerate the construction of key areas; Second, give full play to the role of various investment policies and promote the construction of major projects as a whole; Third, strengthen the project reserve and continuously improve the quality of preliminary work of investment projects; The fourth is to further stimulate the vitality of private investment and continuously optimize the investment environment.

　　Talking about foreign investment

　　— — We will encourage foreign investment to deepen the China market with a more open and inclusive attitude.

　　"China’s new characteristics of increasing the total amount of foreign investment and optimizing its structure fully demonstrate the global investors’ investment in China’s development ‘ Confidence vote ’ 。” Yang Yinkai said that in attracting foreign investment this year, we will steadily expand the institutional opening of rules, regulations, management and standards, and strive to create a market-oriented, rule-of-law and international first-class business environment to provide support for global investors to invest in China. In the key work, including the orderly promotion of telecommunications, Internet, education, culture, medical care and other fields.

　　Yang Yinkai also stressed that China has always been an "activist" in opening to the outside world at a high level, and we will encourage foreign investment to deepen the China market with a more open and inclusive attitude.

　　Talk about employment

　　— — The employment situation will stabilize and improve.

　　Employment is the biggest and most basic livelihood. Li Chunlin said that from this year’s situation, the external environment has become more complicated and severe. The number of domestic college graduates and urban employment demand have reached new highs, and employment expansion and quality improvement still face some pressures and challenges. However, we must also see that with the steady growth, stable employment and stable prices, the business entities such as enterprises will resume development, which will lead to the expansion of employment demand and the increase of jobs, and the employment situation will be stable and good.

　　"Last year, we set a new employment target of 11 million people, and actually completed 12.06 million people, 1 million more than the planned target. The target set this year is about 12 million people, 1 million more than last year’s target, which fully reflects our confidence and determination to stabilize employment. "

　　Talking about food security

　　— — The string of ensuring national food security cannot be relaxed for a moment.

　　In recent years, the international grain market fluctuates greatly, and food security has become a common concern.

　　Zhao Chenxin said that on the whole, China’s grain supply and price stability foundation is solid, grain production has been bumper year after year, market regulation has been continuously improved, the circulation system is safe and reliable, the inventory is at a high level, and the ability to cope with major natural disasters and public emergencies has been continuously improved. The overall food security situation is good, and the food supply can meet the daily consumption of the people and the development needs of related industries.

　　However, Zhao Chenxin also pointed out that China has a population of more than 1.4 billion. Solving the problem of eating well has always been the top priority in governing the country, and the string of ensuring national food security cannot be relaxed for a moment. On the one hand, do a good job in grain production. On the other hand, fully guarantee market supply.

　　Talking about energy security

　　— — Comprehensive policy to ensure safe and stable supply of energy

　　Energy security is an important part of national security, and it is a typical "big country". "Overall, China’s energy security is guaranteed." Li Chunlin said that in 2023, the international energy supply and demand situation is still complicated and there are many uncertain factors; The recovery and development of domestic economy has driven the steady growth of energy demand, and the contradiction between regional and periodic energy supply and demand still exists.

　　Li Chunlin said that in order to ensure stable energy supply and price, we will continue to strengthen the construction of energy production, supply, storage and sales system on the basis of preliminary work, and comprehensively implement policies to ensure safe and stable energy supply. First, increase energy production and supply; Second, continue to consolidate energy reserves; The third is to keep energy prices stable; The fourth is to resolutely keep the bottom line of people’s livelihood.

[car home Qingdao Preferential Promotion Channel] Recently, we learned from Mercedes-Benz dealers that a large-scale preferential promotion activity is being carried out in Qingdao. The highest discount has reached an astonishing 130,000 yuan, and the lowest starting price has dropped to 348,000 yuan. If you have a car purchase plan, you may wish to click "Check the car price" in the quotation form to get a higher discount.

The front face design of Mercedes-Benz EQE adopts a unique starlight grille, and the brand’s iconic starlight pattern is embedded inside, which is not only beautiful but also full of scientific sense. The air intake grille adopts a closed design, which shows its pure electric identity. At the same time, it is matched with LED headlights and daytime running lights on both sides, making the whole front look sharper and more dynamic. Overall style, EQE follows the design language of Mercedes-Benz family, with smooth lines and coordinated body proportions, showing a unique charm of combining modernity and classics.

Mercedes-Benz EQE has a length, width and height of 4,969 * 1,906 * 1,514 mm, a wheelbase of 3120mm, and a front track of 1634mm and a rear track of 1,645 mm. The body lines are smooth and elegant. Both the front and rear tires adopt the specifications of 255/45 R19, and the fashionable and dynamic rim design further improves the visual effect and driving stability of the whole vehicle.

Mercedes-Benz EQE interior adopts luxurious and modern design style, and the center console is equipped with a 12.8-inch touch screen, which supports voice recognition control of multimedia system, navigation, telephone, air conditioner and sunroof. The steering wheel is made of high-quality leather, with electric up-and-down and forward-and-backward adjustment functions, providing excellent grip and comfort. The car is also equipped with three front-row Type-C interfaces and two rear-row USB/Type-C interfaces, as well as the wireless charging function of the front-row mobile phone, which is convenient for passengers to use mobile devices. In terms of seats, the main and co-pilot seats are made of imitation leather, which provides multi-directional adjustment functions such as front and rear adjustment, backrest adjustment, height adjustment (4-way), leg rest adjustment and lumbar support (4-way). In addition, the front seats also have heating and ventilation functions, further improving the ride comfort. The rear seats support proportional reclining, and the space can be flexibly adjusted as needed. In addition, the driver’s seat and the co-pilot seat are also equipped with electric seat memory function, which is convenient for drivers and passengers to quickly adjust to the most comfortable position.

Mercedes-Benz EQE is equipped with an efficient motor with a maximum power of 300kW and a maximum torque of 858N·m, which provides a strong power output and a smooth driving experience for the vehicle.

Car home car owners’ evaluation of Mercedes-Benz EQE is: "I think it’s good. It may be ordinary at first sight, but the real car is still pretty good. It is that the taillights are a bit like BYD. " This evaluation not only affirmed the aesthetic feeling of EQE design, but also pointed out the uniqueness of its taillight design.

　　Pregnancy and childbirth are normal physiological processes of human reproduction, and most women can naturally give birth to healthy babies. Cesarean section is an important means to solve dystocia, deal with serious pregnancy complications and save the lives of mother and baby.

　　In recent years, with the development of perinatal medicine, the conditions of operation, anesthesia technology and drug treatment have been gradually improved, and the safety of cesarean section has been continuously improved. At the same time, the cesarean section rate has been increasing all over the world.

　　Twenty-one medical institutions were randomly selected from Beijing, Yunnan and Zhejiang to participate in the World Health Organization (WHO) Global Survey on Pregnancy and Perinatal Care (2007-2008), and the survey results were published in The Lancet magazine in February 2010.

　　The average cesarean section rate in the three continents (Asia, Latin America and Africa) participating in this survey is 25.7%, of which Asia is 27.3%, while China is 46.5%, ranking first among the 24 countries participating in the survey.

　　The report also pointed out that in China, the cesarean section rate with non-medical indications accounts for 11.7% of all cesarean sections, ranking first among the sampling countries; In Viet Nam, which ranks next to China, the cesarean section rate is 35.6%, but the cesarean section rate without medical indications is only 1%.

　　The cesarean section rate in China has far exceeded the WHO standard of reducing the cesarean section rate to below 15%. The rapid increase of cesarean section rate and the decrease of natural delivery rate have brought heavy economic burden to society and families, and also wasted great health resources.

　　1. Present situation of natural childbirth in China

　　In the 1950s and 1970s, the natural delivery rate in China was around 95%. Since then, with the progress of medical technology and the improvement of material living standards, the natural delivery rate has been declining, and the cesarean section rate has been increasing year by year. After the 1980s, it quickly rose to 30% ~ 40%, and almost reached 40% ~ 60% in the 1990s.

　　In the 21st century, cesarean section has become more common. The cesarean section rate in most domestic urban hospitals is above 40% ~ 60%, and a few may be higher. The wide application of cesarean section has not reduced the perinatal mortality. Compared with natural delivery, the relative risk of maternal death has risen, which has a greater impact on the follow-up of maternal and perinatal children and increases the consumption of health resources, which has become another serious public health problem in China.

　　Zhu Xuanbo and others found that the cesarean section rate was 37.6% from 1993 to 2010 in the study of cesarean section rate of singleton primiparous women and pregnant women in some areas of China. Pregnant women require 10.0% cesarean section.

　　The rate of cesarean section in southern cities increased from 29.4% to 58.7%, in southern rural areas from 18.2% to 58.3%, and in northern rural areas from 4.3% to 49.5%. Among them, the rate of cesarean section required by pregnant women in southern cities increased from 0.6% to 21.3%, up 34 times; From 0.6% to 24.4% in southern rural areas, it has increased by 40 times;

　　The rural areas in the north increased by 44 times from 0.6% to 27.3%. Pregnant women’s request for cesarean section accounts for the main part of cesarean section.

　　In 2006, the National Institutes of Health,NIH) and the American College of Obstetricians and Gynecologists (ACOG) put forward the definition and principles for the cesarean section required by the mother of this singleton pregnancy without clinical complications.

　　It is defined as Cesar can delivery on cesarean section (CDMR) requested by the mother. The principle of handling CDMR is that the decision should be individualized and ethical, and CDMR should not be performed unless there is evidence of fetal lung maturity before 39 weeks of pregnancy.

　　At the same time, delivery institutions should provide effective pain management for all delivery women, and pain should not be the reason for choosing CDMR. Mothers who need to have multiple children do not advocate CDMR.

　　Therefore, clinicians in China should refer to the suggestions of NIH and ACOG, fully inform pregnant women of the advantages and disadvantages of CDMR, and avoid improper timing of elective cesarean section without clear indications, so as to reduce the increasing cesarean section rate.

　　At present, China is at the peak of fertility, and it is estimated that the peak will continue until 2015 before it will gradually stabilize. Nowadays, most young expectant mothers are only children, and fear of pain and convenience has become an important reason for them to choose cesarean section during delivery.

　　Superior living and working conditions weaken people’s tolerance for pain. For today’s healthy young women, there is nothing more painful than having to endure pain for more than ten hours when giving birth. The fear of "pain" urges them to choose cesarean section during delivery.

　　In addition, compared with natural delivery, cesarean section does not need a "long" wait, and "one knife" can solve the problem. For the above reasons, the number of pregnant women who choose cesarean section, especially primiparas, is increasing.

　　ACOG and SMFM jointly issued the first obstetrical care consensus No.1 & mdash; Safely avoid the first cesarean section.

　　It is suggested that doctors weigh the short-term and long-term advantages and disadvantages of cesarean section and vaginal delivery, and avoid the abuse of cesarean section safely and effectively, especially the first cesarean section. The common causes of the first cesarean section were analyzed by consensus, and the results were as follows: abnormal labor process, abnormal fetal heart rate monitoring, abnormal fetal position, multiple pregnancies and suspected macrosomia.

　　In view of the above reasons, the consensus puts forward a series of intervention measures, including redefining abnormal labor process and reducing unnecessary intervention in labor process; To provide non-medical support during labor and improve the recognition ability of fetal heart monitoring;

　　Carry out the application of external gluteal inversion; Reasonable nutrition guidance during pregnancy to prevent macrosomia; It is suggested that cesarean section should not be used as far as possible in twin pregnancy with the first fetus as the head position. The suggestions put forward by this consensus have a guiding role in reducing the delivery rate of first cesarean section in China.

　　At present, with the liberalization of the second child policy, not only will there be a group of pregnant women who will have two children for the first time in the future, but also a group who will be pregnant again after cesarean section. In the past, most countries preferred elective cesarean section for those pregnant women with a history of cesarean section (CS). In 1999, Lu Lini reported 1174 cases of cesarean section, of which 137 cases were cesarean section again, accounting for 11.6%, while in 2003, the rate of cesarean section again in the United States was as high as 89.4%.

　　Therefore, it is widely discussed in the industry that the second cesarean section will obviously increase the bleeding during maternity and postpartum, the rate of blood transfusion, infection, bladder and intestinal injury and the incidence of deep venous thrombosis. At the same time, pelvic adhesion caused by previous surgery also increases the difficulty of surgery. Newborns are also prone to transient dyspnea.

　　Therefore, since 1996, the United States began to encourage pregnant women with a history of CS to choose vaginal delivery (VBAC) when they are pregnant again. ACOG began to advocate VBAC in 1999. However, after nearly ten years’ efforts, there are still many difficulties to be solved, especially the possibility of uterine rupture and the risk of maternal and fetal failure in trial delivery.

　　In 2005, the Society of Obstetricians and Gynaecologists of Canada (SOGC) published the second edition of Clinical Guidelines for Vaginal Delivery after Cesarean Section, which reviewed the contraindications of trial of labor, TOL) after Cesarean Section and its impact on pregnant women and fetus, and made an evidence-based assessment of the safety of VBAC.

　　It is believed that obstetricians should discuss the risks and benefits of VBAC with pregnant women who are willing to accept TOL. If the previous cesarean section was a transverse incision of the lower uterus and there was no contraindication to VBAC, the pregnant women should be advised to take TOL.

　　In order to ensure the safety and effectiveness of VBAC, the parturient should go to the hospital where emergency cesarean section can be carried out. During the labor process, we should closely monitor whether there is any abnormality between the mother and the baby, and deal with it in time if there is any abnormality. It is safe and reliable to use oxytocin to induce labor.

　　When the parturient is willing to accept induced labor and knows its risks, it is feasible to induce labor for the parturient with clear indications. Prostaglandin E2 and prostaglandin E1 are not recommended for induced labor during TOL. If the cervical maturity is low during TOL, Foley catheter can be used to soften the cervix. Although the success rate is not high, it will not increase the risk of uterine rupture.

　　At present, many large-scale case series studies have confirmed that VBAC is relatively safe. The domestic and foreign literature reports that the success rate of vaginal trial delivery after cesarean section is 60% ~ 80%, and the uterine rupture rate of patients with transverse incision of lower uterine segment after previous cesarean section is only 0.1% ~ 1.5%.

　　Therefore, vaginal delivery after cesarean section can effectively reduce the incidence of uterine rupture, improve the success rate of vaginal delivery, and also play a positive role in reducing postpartum maternal and child complications.

　　In the mid-1950s, Friedman established the standard of normal delivery progress and delivery curve by evaluating the labor process data of 500 primiparas admitted to Sloane Hospital in new york, and the delivery curve was called Friedman’s labor process diagram or labor process standard.

　　This standard has been used to evaluate and manage the delivery process of lying-in women and played a certain role. However, in the practice of obstetrics and anesthesia, it is found that with the development of human society, the natural process of childbirth has changed because of the delay of marriage and childbearing age, the increase of pregnant women’s body weight and the increase of fetal body weight. Managing the labor process according to Friedman’s labor process standard has greatly increased obstetric interventions such as artificial rupture of membranes, widespread use of oxytocin and abuse of instrumental midwifery.

　　In recent years, some evidence-based medicine research results reflecting the changes of natural labor process have been published one after another. The unanimous conclusion is that Friedman labor chart is no longer suitable for today’s obstetric clinic, and it is recommended to abandon it.

　　The National Institute of Child Health and Human Development (NICHD), the American Maternal and Fetal Medical Association (SMFM) and ACOG jointly recommended the use of new labor progress standards to manage the labor process. In 2014, experts from the Obstetrics and Gynecology Branch of the Chinese Medical Association also put forward a new standard of labor process and an expert consensus on its handling, advocating the popularization and use of new standards of normal labor process and abnormal labor process in China’s obstetric clinical work, and further observing and summing up experience in the implementation, so that this new standard of labor process can play a role in reducing unnecessary labor process intervention, reducing cesarean section rate and ensuring maternal delivery safety.

　　Many pregnant women in China choose cesarean section because they are unwilling to endure the pain of natural delivery. However, the development of painless delivery in China is still in its infancy, and there is still a big gap with developed countries in Europe and America. In developed countries, the labor analgesia rate is over 80%, and the cesarean section rate is less than 20%, while the labor analgesia rate in China is less than 1%, but the cesarean section rate is 50%.

　　Increasing the rate of labor analgesia can effectively reduce pregnant women’s fear of labor pain and help reduce cesarean section by at least 5%, or even more.

　　The situation that the natural delivery rate is continuously low and the cesarean section rate remains high in China has attracted the attention of the state. In 2011, China Maternal and Child Health Association launched the project of "promoting natural delivery and ensuring the well-being of mother and baby", and adopted a series of measures at the national level to "cool down" cesarean section.

　　The overall goal of the five-year project is to create a social environment and concept to promote natural childbirth, popularize appropriate midwifery techniques and standardized health education contents and methods to promote natural childbirth, reduce unnecessary cesarean section and maternal and infant mortality, and establish an incentive mechanism to promote natural childbirth through the establishment of training centers, the formation of missionary teams, the cultivation of technical backbones, and the improvement of safeguard measures.

　　Popularize appropriate techniques and measures to promote natural delivery and improve medical staff’s cognition and handling ability of maternal and infant complications; Standardize the health education guidance to promote natural childbirth; Raise public awareness of promoting natural childbirth; Effective use of maternal and child health care technical service resources, reduce non-medical indications of cesarean section, improve and protect the health of women and children.

　　In 2010, the Health Department of Sichuan Province also vigorously advocated natural delivery and reduced the cesarean section rate, and included the reduction of cesarean section rate in the target assessment of hospitals, requiring all hospitals in the province to reduce the cesarean section rate by 5 percentage points on the original basis. It is believed that under the control of the government, the high cesarean section rate in China can be curbed.

　　2. Prospect of natural childbirth in China

　　With the harm of cesarean section to parturient and newborn being paid attention to by the state and obstetricians, and the increase of measures to promote natural delivery, such as labor analgesia, doula companionship, the improvement of midwifery technology, the reduction of episiotomy rate of natural delivery, the increase of breech inversion, and the liberalization of national second child policy, prenatal health education and publicity for pregnant women, diet control during pregnancy, strengthening exercise, reducing the first cesarean section, and advocating VBAC.

　　The current cesarean section rate has been declining year by year in recent years, and the mode of intrapartum service has also changed from the mode of intervention to the mode of giving priority to the safety and health of mother and baby, and advocated providing humanized and individualized services to pregnant women in physiology, psychology and environment.

　　Continuous physical, psychological and emotional support to the parturient during the delivery process makes the parturient feel comfortable and safe, and can cooperate with the medical staff to spend the delivery process safely and happily, thus achieving the purpose of promoting natural delivery.

　　Organized by the Women’s Health Branch of the Chinese Preventive Medicine Association, the women who gave birth in 9 medical and health institutions such as Beijing Maternity Hospital from November 2000 to June 2001 were taken as the research objects, and the influence of accompanying delivery on the labor process, maternal and infant outcome and maternal psychology, the feasibility of appropriate delivery technology and the influence of changing the health care model during delivery on pregnancy outcome were studied by using the control research method. The results showed that vaginal delivery accounted for 85.5% in the accompanying group, which was significantly higher than that in the control group (66.0%). Cesarean section accounted for 8.1% in the labor group, which was significantly lower than that in the control group (28.6%).

　　The emergency labor rate, postpartum hemorrhage rate and neonatal asphyxia rate in the accompanying labor group were also significantly lower than those in the control group. Compared with the control group, the degree of mental stress, worry and fear in the accompanying group was significantly reduced, while those who relaxed and cooperated with the labor process were significantly higher than the control group. It shows that the appropriate delivery service mode can increase the natural delivery rate, reduce the cesarean section rate and improve the prognosis of mother and baby.

　　The application of new labor chart is strongly advocated in the world and China, which can reduce unnecessary labor intervention, reduce cesarean section rate and ensure the delivery safety of pregnant women.

　　At present, China’s cesarean section rate is as high as 46.2%, ranking first in the world, which brings heavy economic burden to the country, society and families and wastes great health resources. Therefore, it is the responsibility and obligation of contemporary medical workers to improve the natural delivery rate and reduce the cesarean section rate.

　　It is possible to promote vaginal delivery and reduce the cesarean section rate to less than 30% on the premise of the safety of mother and baby through pre-pregnancy health care, pregnancy education and obstetric clinic, but the WHO’s proposal of less than 15% is unrealistic in China.

　　Because WHO put forward this standard around 1985, the present situation has changed a lot compared with that time. And the basis for WHO to propose this goal comes from countries with a majority of multiparas.

　　At present, the delivery in our country is mainly primiparas, and even multiparas, about 50% people have a history of cesarean section. It is a challenge for China to improve the natural delivery rate and reduce the cesarean section rate. We have a long way to go to truly attach importance to maternal and child health.

(This article was first published in "Movie Rising Potential", welcome WeChat to search filmmore for attention)

　 1905 movie network exclusive feature By the morning of July 20th, young director Bi Gan’s big-screen debut had been released for the sixth day, with a box office of over 4.7 million. Previously, Bi Dao announced that the film would only be released for 10 days. Although its film arrangement is less than 1%, compared with the box office results of literary films in the past two years, this figure is very optimistic, not to mention that the film has already recovered its production cost overseas before it was released in the mainland.

　

　 For this achievement, Li Xin, the marketing director of Beijing Herui Film Culture Co., Ltd., who is responsible for the marketing of the whole case of Roadside Picnic, and her team also expressed satisfaction. Of course, she still hopes that this film can be seen by more people — — In the process of our interview, Li Xin just finished her roadshow in Shenyang and went to Wuhan. Although her voice was a little tired in the interview, she answered the questions of Zi Shijun in detail. It is not difficult to see that she is full of confidence in the film.

　

　 From 14 years, 15 years to not long ago and recently, with the mainland film market becoming more and more prosperous in the past two years, the cliched survival dilemma of literary films has repeatedly become the focus of attention in the industry. Narrow audience, imperfect channels and limited funds are the most common "complaints", but the team of "Roadside Picnics" has always greeted the market test with a supercilious attitude, and even made interesting attempts and explorations for the promotion and marketing of literary films and even art films.

　

　 Next, let’s listen to Li Xin, the marketing director, and talk to us about how to sell this "magic film of the year" filmed for "Wild Ghosts and Breeze" to the vast number of human fans:

Bi Gan said that his films were made for wild ghosts and breezes.

　

[Talking about the marketing tone]

　

Zi Shijun: What is the whole marketing tone of "Roadside Picnic"?

　

Li Xin:Regarding the whole marketing tone, first of all, we fully respect what this film should look like. It’s actually not just a literary film, it’s actually an artistic film, so we respect it for what it looks like, without deliberate packaging. We will enlarge its advantages and differences from other films.

　

　 The core point of our marketing is that this film must be of good quality and have a good reputation, and we have great confidence in it. So we have been playing its word of mouth and its long shot.

　

　 To win its reputation, we must first hit the core fan base. It may actually have a very narrow audience in terms of film types and other aspects. Therefore, we initially wanted to promote it through the word-of-mouth of the core fans, and also had in-depth cooperation with some places where literary youth and fans gathered, such as Douban.

"Roadside Picnic" official micro-spoof "Beijing paralysis"

　

Zi Shijun: This film is deep and serious as a whole, but many marketing methods on Weibo WeChat are more funny than that … … Does it feel in conflict with the tone of the film?

　

Li Xin:Weibo WeChat is probably maintained by three or four colleagues.

　

　 Well, first of all, the words of new media must be conducive to communication. I think it is more conducive to communication if this kind of thing is grounded. If something like poetry is typed as soon as it comes up, the audience who have never seen the film will definitely feel it. If it is aimed at them, it must be suitable for the public. Let’s use grounded methods.

Bi Gan, who exposed the true nature of teasing, turned the "one seat" speech into a stand-up comedy.

　

　 Including the director himself, who is actually a particularly funny person. When our whole team is doing this, we still hope that it can make the public accept it more easily.

"Roadside Picnic" cooperated with Guevara’s brand "New Projection"

　

[Talking about film arrangement]

　

Zi Shijun: Is there any stage difference in the marketing of this film during the whole release period? The Return of Mount Tai has been released. Are there any adjustments to the film’s publicity and screening strategies?

　

Li Xin:In fact, we have been doing its reputation, and there are some special professional foreign media or some foreign film festival awards for its recognition, the honor the film won, and its 42-minute long shot. Because we were not too worried about its reputation, we also made a nationwide roadshow to let it communicate with fans at every stop.

　

　 If "The Return of Mount Tai" is released, it will have no influence on our publicity. The arrangement of films will definitely have some impact, but we are relatively stable these days, and some well-selling cinemas are also giving us more venues.

　

Zi Shijun: Does this film have the action of "online distribution"?

　

Li Xin:Our copyright was sold to iQiyi, and it will be launched on the 20th. We don’t have the so-called e-commerce intervention to arrange the film. The release of this film is our company’s own arrangement and communication with the cinema. Regarding the cooperation with e-commerce, one is Guevara’s "new screening" product ("film tester" activity), and there are some regular ticket supplements, others are not too deep.

A lot of effort has been devoted to the poster design of "roadside picnic"

　

[Talking about materials]

　

Zi Shijun: What do you think is the biggest difficulty in the promotion and marketing of this film? How to overcome it?

　

Li Xin:The biggest difficulty … … I really haven’t thought about it. After all, it is not a film for the mass market, but we have to sell it to the mass market, so it will definitely be more difficult to walk.

　

　 Perhaps my personal feeling is that it will be more difficult to do it in terms of materials. Because the colleagues in the early stage of the crew are relatively not so professional, and because they have no experience in making long films, the preparatory work in the early stage is not sufficient. When it reached us, there were no materials, including the posters you see now, which were all made by ourselves, and there were not any usable stills.

　

　 But fortunately, I don’t want to say how difficult and bitter it is. Since we have done it, we must be responsible for it and do every step well. We also spend a lot of time and energy on materials.

　

Zi Shijun: There was a trailer with disco as the background music. At that time, I saw some netizens commenting that it misled the audience and made people think it was a fast-paced film. How do you respond to this kind of spit?

　

Li Xin:As for the trailer, the first one is particularly difficult to cut. Our editor cut it for about a month and tried various methods, trying to tell the story or try something, which was more troublesome. If you watch the film, you will know that this film is something that can’t be clearly explained in one or two sentences, so you have to watch it yourself, just by feeling.

　

　 It is normal for netizens to vomit, and it is only when something comes out controversial that it is discussed. In fact, I have collected a lot of feedback here, and I still think this trailer is bold and innovative. At that time, we thought music was very important, at least this feeling would look more emotional, and it was a new attempt. My friends and people in the industry around me still recognize these two versions of the trailer.

　

　 The two trailers you saw, one is the forerunner, the other is the ultimate, and the last is the background music. The editor is cutting and revising every day, probably for more than a month, and different versions are produced every day, and finally these two versions are presented.

At this year’s Strawberry Music Festival, the booth of "Roadside Picnic" attracted many rock youths.

　

[Talking about cross-border]

　

Zi Shijun: How was the cooperation with Modern Sky established? What kind of movies do you think will be more related to the fans at the music festival?

　

Li Xin:That activity was relatively early. Because we have been watching what this film has. I was particularly impressed by the songs in the movie, including the music made by teacher Lin Qiang, which was particularly psychedelic and set off the atmosphere. Then it happened that there was going to be a music festival at that time, and then we wanted not to cooperate with the music festival, and then we found Modern Sky.

　

　 In fact, we didn’t do the kind of cooperation in a particularly special depth, and the exposed effect was certainly not particularly great, but at that time, we thought that this film could be done more, so we did it. We only have a two-square-meter booth, and we have worked hard to arrange it. The effect is not bad, and it was quite unexpected at that time. In the whole modern sky life museum, our people flow is the largest. Then Douban also cooperated with us to do some convening work in Douban.

　

　 There is another reason to cooperate with them. Young artists’ associations prefer to go to their music festivals. Young artists and core fans are our audiences, so we may think that some audiences will overlap with our audience, so we will go. One more exposure is one, and they do have a large flow of people.

　

　 My judgment may not be accurate either, but I think literary films may be more suitable to cooperate with music festivals. Young artists like music festivals and may also like literary films. I think so.

The ingenious "poison tongue commentary audio track" blessed the roadshow.

　

[Talking about roadshows]

　

Zi Shijun: This roadshow is going well. How did you choose the route?

　

Li Xin:Regarding roadshows, we went to many cities, one place every day, including roadshows today. At that time, I also hoped that more people could see the film and then let the director communicate with them.

　

　 The choice of roadshow cities has referred to the route at that time, as well as the cities with good box office of Heart Labyrinth. "Heart maze" was also made by our side before, so we will know more about it. There are also places with a strong literary atmosphere, such as Jiangsu, Zhejiang and Shanghai, where there are many young artists.

　

Zi Shijun: How did you come up with the idea of "audio track of poison tongue comments"?

　

Li Xin:The commentary track is the "value-added service" we talked about this film before.

　

　 Because first of all, the audience of this film must be core fans, and the audience is relatively narrow. We also want to give them a better viewing experience and a value-added service, and then we think about the commentary track.

　

　 Then, we made a commentary track in Shanghai during "Heart Labyrinth", which was not very large at that time, and its equipment and technology were more troublesome, so this time it was also in the roadshow that Xiang made a better service for the core fans, so he did it.

The film derivatives of roadside picnic include notebooks and 6000mAh charging treasures.

　

[Talking about derivatives]

　

Zi Shijun: The derivative design of this film is very compelling. How are they completed?

　

Li Xin:Regarding derivatives, we made notebooks and charging treasures.

　

　 First of all, we think there are poems in this film, which is very literary. In fact, it is quite suitable to be a notebook. Then I think our poster is not bad, so I will use it to make the front and back of the notebook.

　

　 If you have seen the film, you will know that there is a tape in it that is a key thing. We want to make a derivative of the same size, so we made a charging treasure, which is also more practical.

　

　 Just leave it to the production company. It’s not that complicated to make, and the time will not be particularly slow. I also forget how much time it took.

I wonder if the fans who have seen this film have been brainwashed by this magical "Little Jasmine"

　

Zi Shijun: The music of this movie is very distinctive. Have you considered releasing the movie’s OST?

　

Li Xin:The first time I saw the film, I was particularly impressed by the music. Every song was quite interesting, including Little Jasmine and Farewell. However, the distribution of music OST is more troublesome, involving many aspects and various copyright issues, so it has not been considered for the time being.

　

　 Moreover, music will be particularly effective if it is accompanied by a movie. If you listen to it alone, you don’t know if you feel like watching a movie.

Click on the picture below to review the past highlights:

　　Cctv news(Reporter: Tian Hong Cao Zhen) On August 28th, the reporter learned from the media briefing on the preparation progress of the 2021 Summit Forum of the Service Trade Fair that the Service Trade Fair will hold 5 summit forums, 193 forum meetings, promotion and negotiation activities and 8 side events.

　　It is reported that the Ministry of Commerce, the Ministry of Industry and Information Technology, the the State Council Development Research Center and the World Federation of Tourism Cities will hold five summit forums. Focusing on the cutting-edge trends, the forum conducted exchanges and discussions on the business opportunities of digital education, high-quality development of service trade, open cooperation, new digital ecology, and revitalization of world tourism, and conducted in-depth discussions on the strategic and structural issues of global service trade.

　　It is worth noting that in this summit forum, there will be a number of authoritative reports and indexes released, which will help lead the development of the industry and become the focus of this summit forum. Li Baochun, member of the party group of Beijing Municipal Bureau of Culture and Tourism and executive deputy secretary-general of World Tourism Cities Federation, said: "At the summit forum of Xiangshan Tourism Summit and World Tourism Cooperation and Development Conference in 2021, the Future Development Agenda of World Tourism Cities (2021— 2030) "World Tourism City Development Report 2020" is of great significance to guiding the sustainable development of world tourism cities. "

　　The State Council Development Research Center will hold two summit forums, namely, "New Trends of Service Trade Opening and Development" and "Service Trade Facilitation from the Perspective of Multinational Corporations". Wang Yanqing, Vice President of National Research Think Tank, said: "‘ Summit Forum on the New Trend of Open Development of Service Trade ’ China Service Trade Development Report 2020 and Digital Trade Development and Cooperation Report (2021) will be released, ‘ Service Trade Facilitation Summit Forum from the Perspective of Multinational Corporations ’ The research report "Theory, Policy and Practice of International Consumer Center Cities" will be released. " The release of these authoritative reports will further play the role of the Service Trade Association in leading the new development of global service trade.

　　Liu Yangyang, Electronic Commerce Department of Beijing Municipal Bureau of Commerce, said: "In ‘ 2021 China E-commerce Conference Summit Forum ’ In terms of results release, the Ministry of Commerce will hold the awarding ceremony of the new national e-commerce demonstration base in 2021 for 16 additional e-commerce parks. At the same time, the Ministry of Commerce and the Central Committee of the Communist Youth League will release ‘ Digital Business Youth E-commerce Cloud Course ’ , create ‘ Number quotient promotes agriculture ’ Action and promote the youth e-commerce cultivation project. " It focuses on guiding young people to use new modes such as e-commerce to improve the digital level of agricultural products and broaden the channels for starting businesses to get rich.

　　"Based on the successful experience held last year, the digital trade development trend and frontier summit forum of the Trade Fair in 2021 will continue to share development achievements with peers in the global digital economy." Liang Liang, Deputy Secretary-General of China Institute of Electronics, said at the meeting that the Ministry of Commerce will release China Digital Trade Development Report 2020, China Institute of Electronics will release Research on the Implementation Path of Data-Driven Industry Innovation, and China Industrial Internet Research Institute will also release China Industrial Internet Industry Development Index Report (2021).