Management of Postpartum Care Centers operating beyond their scope
2026-03-18
In recent years, postpartum centers that provide one-stop postpartum health services such as nutritious meals, maternal and child care, and postpartum rehabilitation have become popular in the market, with professional nutritionists providing postpartum meals, 24-hour one-on-one maternal and child care, and hundreds of postpartum rehabilitation programs. However, some readers have reported that some postpartum centers have problems with nursing staff operating improperly and providing medical services beyond the scope, resulting in damage to maternal and child health. On January 6th of this year, a 9-day-old baby girl in Maoming, Guangdong, died of suffocation at a confinement center due to suspected improper handling of spitting by staff; On January 7th, a baby under one month old in Xi'an, Shaanxi Province fell to the ground from her confinement nanny's arms at a confinement center, causing traumatic brain injury. The nursing staff at the confinement center are divided into two categories: nurses and confinement nurses. Nurses are responsible for wound care of postpartum women, monitoring of maternal and child health, etc. They must hold nursing qualification certificates and practicing certificates issued by the health administrative department. The nanny is responsible for daily care such as infant feeding and cleaning, relying more on accumulated experience. Although most organizations require postpartum caregivers to hold a mother and baby caregiver certificate or a baby caregiver certificate during recruitment, due to the lack of clear industry standards, some postpartum caregivers only need to undergo internal training and assessment within the organization to be employed. In addition, the emergency plans of postpartum centers are relatively weak. When dealing with neonatal emergencies such as choking and suffocation, sudden high fever, or sudden maternal situations, most postpartum centers have inadequate emergency equipment, drug supplies, and personnel emergency response capabilities compared to hospitals, clinics, and other medical institutions. Some readers have also reported that some postpartum centers do not have medical qualifications but provide actual medical services under the guise of "postpartum rehabilitation" programs. Last October, Ms. Deng from Wuxi, Jiangsu, was promoted to purchase postpartum rehabilitation programs known as the "golden three items" during her confinement at a maternal and child clinic in Wuxi, including pelvic closure, rectus abdominis closure, and pelvic floor muscle repair. Ms. Deng told reporters that after several massages, she felt unwell and went to the hospital for examination and found that it was caused by improper massage. The reporter learned during the investigation that the so-called "postpartum rehabilitation" project has both the characteristics of life care and may involve professional medical operations, and its nature is relatively vague. According to industry insiders, postpartum rehabilitation programs with additional fees are an important source of profit for postpartum centers, and therefore will be promoted through various means. During the postpartum period, the mother's body is weak, and the wound of the cesarean section mother has not yet healed. Rushing to repair it can easily cause damage. ”A deputy chief obstetrician from a tertiary hospital introduced that pelvic deformation, rectus abdominis separation, and pelvic floor muscle relaxation are common health problems for women after childbirth. Whether rehabilitation treatment is needed should be evaluated based on professional testing, and even if it is necessary, it is recommended to do it at least 42 days after delivery. The excessive operation of the confinement center has resulted in its business scope involving multiple regulatory departments, which has also caused difficulties for consumers' rights protection. Mr. Ma, a reader from Linxia, Gansu, complained on the "Leadership Message Board" of People's Daily Online that in November last year, his wife suffered from injuries such as ligament inflammation and spina bifida occulta while receiving "postpartum rehabilitation" services at Linxia Enjoyment Time Postpartum Care Center. For this reason, Mr. Ma complained to the Linxia Health Bureau, but was informed that the confinement center was engaged in maternal and child life care services, not medical institutions, and the "warming device" used was not a medical device. No diagnosis or treatment behavior was found, and it was not accepted. The confinement center is located within the hospital, but it is not part of the medical department. The Postpartum Rehabilitation Center of Yunnan New Kunhua Hospital, chosen by readers, is one of the "featured centers and departments" of Yunnan First People's Hospital New Kunhua Hospital, located in the hospital's inpatient building. Its promotional page has repeatedly emphasized relying on the expert resources of obstetrics and pediatrics at Yunnan First People's Hospital. However, when there was a dispute over rights protection, the reader was informed that "the Postpartum Rehabilitation Center of Xinkunhua Hospital belongs to the Postpartum Rehabilitation Center (non-medical department) established by Xinkunhua Investment Management Co., Ltd., a subsidiary of Yuntou Group. It is registered with the Civil Affairs Bureau and is neither managed by the Provincial Health Commission nor under the jurisdiction of Kunming City." Deng Yong, a professor of health law at Beijing University of Traditional Chinese Medicine, believes that the disconnect between the qualitative classification of postpartum centers and the actual services they provide is the core crux of the problem that causes institutions to "brush the edge" and consumers' rights protection to be "kicked the ball". The current classification in our country categorizes postpartum centers as maternal and child life care or home care services, and only allows the provision of basic care, food and accommodation services. However, there is a demand for similar medical services in the market, which has led to some institutions promoting medical related services such as postpartum rehabilitation, lactation, and wound care, resulting in a mismatch between qualifications and services. In addition, China has not yet formed a unified national standard for the admission and operation of postpartum centers. Deng Yong pointed out that many postpartum centers on the market provide various services such as catering, accommodation, maternal and child care, and consumer medical care, which are supervised by multiple departments including food and drug supervision, cultural and tourism, health, and market supervision. "When medical disputes are involved, the health department refuses to accept them on the grounds of 'non medical institutions', while the market supervision is difficult to intervene on the grounds of' involvement in the medical field '. It seems like there is multiple supervision, but in reality, there is a lack of supervision from multiple departments," Deng Yong said. Experts suggest that relevant departments can formulate and strengthen unified management standards for hygiene, personnel, and services in maternal and child care facilities, in order to enhance the overall transparency of services. It is also necessary to quickly introduce relevant management measures for postpartum centers, clarify the exclusive nature of their "maternal and child care service institutions", delineate the core service boundaries, and clarify the regulatory responsibilities of each department. Some readers also suggest establishing a tiered admission and qualification review system for postpartum centers, and implementing targeted measures for institutions that only provide basic care, accommodation, and meals services, as well as institutions that can expand their scope to provide similar medical services, to ensure precise supervision and protect consumer rights. (New Society)
Edit:Yiyi Responsible editor:Jiajia
Source:people.com.cn
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