“…The baby boom has not happened as expected, but with a cut of 630 thousand births from 17.86 million in 2016 to 17.23 million in 2017. However, an increasing of pregnant women with advanced age has emerged undoubtedly, 56 , 57 with higher risks of pregnant complications and adverse birth outcomes, 58 , 59 imposing greater pressure on MCH services. Therefore, it should be the urgent matter to improve the efficiency, capacity, and quality of MCH services.…”