北京市流动人口孕产妇不同产前检查模式比较  

Study on management model for fluid pregnant women in Beijing

作　　者：杨惠娟[1] 沈汝枫[1] 李禾[1] 何芳[1] 丁辉[1] 

机构地区：[1]首都医科大学附属北京妇产医院保健部北京妇幼保健院,北京100026

出　　处：《中国公共卫生》2007年第7期845-846,共2页Chinese Journal of Public Health

基　　金：首都医学发展科研基金联合攻关项目(2002-1002)

摘　　要：目的探讨在流动人口孕产妇中实施WHO产前检查新模式的可行性,为政府制定措施提供依据。方法选择北京市城乡结合部5个二级医院,以2004年1～12月期间分娩的产检次数≤4次的孕产妇663人为研究组,产前检查≥8次的产妇658人为对照组,进行基本情况调查。对其中孕期检查正常、产前检查次数4次的流动人口孕产妇335人与孕期检查正常、产前检查≥8次的产妇331人进行分娩结局比较。结果影响流动人口孕产妇产前检查依从性的主要原因为文化程度、职业、收入、在京居住时间、产次等因素。WHO产前检查新模式效果评价显示,产前检查4次与产前检查≥8次的产妇和新生儿并发症差异无统计学意义。结论对非高危、产检次数少的流动人口孕产妇实施WHO新产前检查模式,可以在有效提高其依从性的基础上,保障孕妇及胎儿健康。Objective To assess the effcacy of the WHO model in reducing maternal and prenatal complication, and to provide a basis to the government for constituting measure. Methods In 5 hospitals of grade B at Beijing suburb, quantitative survey was conducted in 1321 fluid pregnant women from Jan. to Dec. in 2004. 331 lying- in women were chosen as intervertion group, whose gravid examination were normal, and their ANC visits was 4 times, 331 flying-in women were chosen as comparison group, whose ANC visits was 8 times or more. Results The following variables such as maternal occupation, maternal and husband education, monthly income, living time in Beijing, baby numbers associated with antenatal care. There was no statistical difference among varied number of ANC visits when the results were pooled for maternal complications, newborn weight and fetal distress （P 〉0.05）. Conclusion Standard ANC model is currently not well completed in immigrant pregnant women. A more practical and effective ANC model for immigrant pregnant needs to be explored.

关 键 词：流动人口 孕产妇 产前检查 模式 

分 类 号：R173[医药卫生—妇幼卫生保健]