我国部分农村地区产前保健状况分析  

Study on antenatal care services in rural area of china

作　　者：刘芃[1] 王燕[1] 

机构地区：[1]北京大学医学部公共卫生学院妇幼卫生教研室

出　　处：《中国妇幼保健》2008年第18期2555-2557,共3页Maternal and Child Health Care of China

基　　金：联合国儿童基金会资助项目(项目编号0135YH601-11)

摘　　要：目的:了解我国农村地区产前保健状况,探讨存在的问题。方法:利用联合国儿童基金会与中国卫生部目前在中国13个省50个县进行的"母子系统保健项目"的基线调查资料进行描述性分析和分层描述。结果:5岁以下儿童母亲和孕中晚期孕妇产前检查率分别为82.9%和88.9%;孕早期检查率分别为45.9%和50.0%;首次产前检查地点均以乡卫生院为主;产前检查次数分布为产前检查率较高,而至少4次检查率低、按时检查率低;5个基础项目全部检查率分别为17.6%和16.5%。四类农村地区之间,产前保健各项指标均随经济水平下降而下降。结论:被调查农村地区产前保健服务存在一定的质量问题,且四类地区间发展不平衡,应大力提高产前保健服务质量。Objective： To understand the situation of antenatal care quality in rural area of China, and search for the weakness. Methods： Using the data from the Baseline Survey of Mother and Baby Package Project to conduct a descriptive analysis. Results： the coverage rates of antenatal care were 82. 9% and 88.9%, respectively for women when they got pregnancy of their youngest child and for women they were currently pregnant. Also the early checkup rates during the first three months were 45. 9% and 50. 0% respectively. Most of women received their first antenatal care in the township hospitaLs. The surveyed women were with high antenatal care coverage, but with low percentage receiving at least 4 times of the checkups also with low percentages receiving timely antenatal care. As to the basic 5 items of antenatal care （ weight/height/blood pressure/blood routine/urine protein）, only 17.6% of the mothers and 16. 5% of the pregnant women received the checks completely. Generally, the well - developed rural area was with higher quality of antenatal care services. Conclusion： It is urgent to improve the service and utilization of qualitatively prenatal care in the surveyed rural areas.

关 键 词：产前保健质量 农村 现况调查 

分 类 号：R173[医药卫生—妇幼卫生保健]