农村贫困地区孕产妇保健服务状况分析及对策  

Situation and countermeasure of pregnant and puerperal women health care in poverty-stricken zone of countryside

作　　者：王晓波[1] 潘松[1] 许伟[2] 吴文硕 郑亚军[2] 周宝森[1] 

机构地区：[1]中国医科大学公共卫生学院,辽宁沈阳110001 [2]沈阳市卫生局基妇处

出　　处：《中国妇幼保健》2007年第12期1576-1578,共3页Maternal and Child Health Care of China

摘　　要：目的为了解农村贫困地区孕产妇保健服务状况,改善其服务提供参考依据。方法采取分层定额随机抽样的方法,获取样本。由统一培训的调查员进行调查。调查表用EPI Info3.3.2软件进行数据录入,用SPSS11.5软件进行统计分析。结果建立孕产妇保健手册率为62.8%,有89人(37.2%)没有建册,孕早期建册率为55.2%;产前检查率为92.9%,产前检查次数达标的比例为55.7%,还有17人(7.1%)没有做过产前检查,产前检查医院以区级及以下医院为主,其比例为93.3%;分娩方式,自然分娩率为72.4%,剖宫产率为27.6%;参加孕期保健保偿的比例为41.4%;产后访视次数达标率64%;对产前检查及产后访视需求的很好满足度,分别为24.7%、28.5%。结论孕早期建册率及产前检查次数达标比例较低,参加孕期保健保偿的比例有待提高。建议有针对性的对孕产妇进行健康教育,增强她们对孕产期保健服务的主动需求意识。Objective： To learn the situation of pregnant and puerperal women health care in poverty - stricken zone of countryside so as to improve the quality of health care. Methods： The stratification sectional method was used to investigate 239 puerperal women. Restilts： 62. 8% owned ＂ Maternal health handbook＂ which should be issued as routine at registration for first antenatal check - up and with early registration rate of 55. 2%. There were 89 puerperal women （37.2%） without registration. Antenatal check - up rate was 92. 9% , percentage of the antenatal check - up number （≥5） was 55. 7%, 17 puerperal women （7. 1% ） did not receive any prenatal care. Cesarean section rate was 27.6%. The rate of the indemnity system of maternal and child health care was 41.4%. The rate of the number （≥4） postpartum visit was 64%. Conclusion ： The appropriate prenatal care guidelines for pregnant wpmen in rural areas should be established and health education should be in urgent needed to increase perinatal care utilization.

关 键 词：孕产妇 产前保健 现状及对策 

分 类 号：R173[医药卫生—妇幼卫生保健]