人员短缺导致一家繁忙的产科病房出现问题，一些孕妇面临漫长等待，无法在自己选择的地点分娩，监察员发现。
Staff shortages at a busy maternity unit left some women facing long delays and unable to give birth where they chose, inspectors found.
护理质量委员会（CQC）将朴茨茅斯女王亚历山德拉（QA）医院的产科护理评级从“良好”下调至“需改进”。
The Care Quality Commission (CQC) downgraded maternity care at Queen Alexandra (QA) Hospital in Portsmouth from "good" to "requires improvement".
监察员表示，QA产科病房在一年内有267天处于高压状态，一些孕妇等待引产超过六小时，还有人被送往其他医院。
Inspectors said the QA unit was under high pressure on 267 days in a year, with some women waiting more than six hours to start induction and others sent elsewhere.
朴茨茅斯大学医院国家医疗服务体系信托基金首席执行官佩尼·埃默里特表示，该信托“决心解决报告中提出的问题”。
Portsmouth Hospitals University NHS Trust chief executive Penny Emerit said it is "determined to address the issues raised".
此次检查还涵盖了位于朴茨茅斯的圣玛丽社区健康园区和戈斯波特战争纪念医院的产科中心。
Also included in the inspection were birth centres at St Mary's Community Health Campus, also in Portsmouth, and Gosport War Memorial Hospital.
CQC副主任凯瑟琳·坎贝尔表示，虽然“孕妇日常体验到的善意往往依然强烈，但支撑这些体验的系统却跟不上步伐”。
Catherine Campbell, a deputy director at the CQC, said while "women's day-to-day experiences of kindness often remained strong, the systems underpinning those experiences weren't keeping pace".
她表示，人员短缺和运营压力对孕妇的护理和可选择的方案产生了“重大影响”。
She said staffing shortages and operational pressures were having a "significant impact" on women's care and the choices available to them.
监察员于3月进行走访，在三个地点共发现五项违规行为，其中包括重复未能确保员工接受保护性培训。
Inspectors, who visited in March, found five breaches of regulations across the three sites, including a repeat failure to make sure staff were trained in safeguarding.
在该信托基金的产科服务中，仅有29%的医生完成了保护性培训的更新。
Across the trust's maternity services, only 29% of doctors were up to date with their safeguarding training.
QA产科病房一年内四次达到“极端压力”级别，包括在检查期间本身，当时该病房将新入院患者转往其他医院。
The QA unit reached "extreme pressure" four times in the year, including during the inspection itself, when it diverted new admissions to other hospitals.
仅在3月，就有17名孕妇等待引产超过六小时，而在半年内，有17人被送往邻近信托基金进行引产。
In March alone, 17 women waited more than six hours for their induction to start, while 17 were sent to neighbouring trusts for inductions over six months.
CQC表示，助产士人数经常低于计划水平，员工病假率有时超过预期水平的三倍。
Midwife numbers were often below planned levels, and staff sickness was at times more than three times the expected rate, the CQC said.
监察员还发现产房部分资深员工长期存在不良行为，一些新入职助产士表示，她们感到无法向这些同事提出担忧或寻求帮助。报告称，为解决该问题所做的努力并未带来任何改善。
Inspectors also found long-running poor behaviour from some senior staff on the labour ward, with some newer midwives saying they felt unable to raise concerns or ask these colleagues for help. Efforts to address it had not led to any improvement, the report said.
该信托的两个分娩中心依赖从QA调派助产士来接生，但检查人员发现这往往无法实现。
The trust's two birth centres rely on midwives being released from QA to deliver babies, which inspectors found was often not possible.
检查前18个月内，两个中心共仅接生22名婴儿，且自2025年6月以来，两者均未记录有分娩发生。
Just 22 babies were born across the two centres in the 18 months before the inspection, and neither had recorded a birth since June 2025.
在戈斯波特中心，18个月内有25名要求在该中心分娩的女性被拒之门外；而在圣玛丽中心，一名处于活跃分娩期的女性被救护车送往QA医院。不过，检查人员表扬员工以仁慈和同情心对待女性。
At Gosport, 25 women who asked to give birth at the centre were turned away over an 18-month period, while at St Mary's one woman in active labour was taken to QA by ambulance. However, inspectors praised staff for treating women with kindness and compassion.
在举办了一场与穆斯林女性的倾听活动后，该信托还开始根据要求提供女性产科医生服务。
After holding a listening event with Muslim women, the trust also began offering female obstetricians on request.
检查后，该信托表示已审查其安全清单，并将开始监测有多少女性无法在其选择的地点分娩。CQC已要求该信托提交一份计划，说明将如何进行改进。
Following the inspection, the trust said it had reviewed its safety checklists and would begin monitoring how many women were unable to give birth at their chosen location. The CQC has told the trust to submit a plan showing how it will make improvements.
同时担任怀特岛NHS信托首席执行官的Emerit表示：“我们已制定改进计划，并将继续与女性、分娩者、家庭及员工合作，确保这些计划得到落实，并充分反映我们需要做出的改进。”“我要感谢员工们的奉献精神，以及他们持续提供的照护。”
Emerit, who is also the chief executive of the Isle of Wight NHS Trust, said: "We already have improvement plans in place, and we will continue to work with women, birthing people, families and our staff to ensure these are implemented and fully reflect the improvements we need to make. "I would like to thank our staff for their commitment and for the care they continue to provide.
“我们的重点依然是确保女性和家庭获得积极的体验，并接受最佳的照护。”
"Our focus continues to be on ensuring our women and families have a positive experience and receive the best possible care."