农村地区孕产期保健服务时间变化趋势分析  

Survey on situation of antenatal care in rural areas,China

作　　者：杨丽[1] 崔颖[1] 田晓波[1] 巫琦[1] 杜清[1] 

机构地区：[1]中国疾病预防控制中心妇幼保健中心国际合作项目部,北京100013

出　　处：《中国公共卫生》2009年第2期145-146,共2页Chinese Journal of Public Health

基　　金：卫生部-嘉道理慈善基金会农村社区健康促进项目(CHI004)

摘　　要：目的了解新疆、安徽省2地农村地区孕产期保健服务时间变化情况,及时发现农村地区孕产期保健服务中存在的问题。方法采用整群随机抽样方法,自行设计调查问卷,于2006年1月对新疆、安徽2地15～69岁有过孕产史的已婚育龄妇女进行孕产期保健服务调查。结果随着时间的推移,新疆、安徽2地孕产期保健服务利用的各项指标均呈现增加趋势(P值均<0.05)。但仍然存在产前检查开始时间较晚、产前检查次数较少等问题。2000年以来,孕早期检查比例只有52.5%,≥5次产前检查的比例也只达到54.0%,住院分娩比例只有68.1%。同时,2地区各项指标间差异有统计学意义。结论新疆、安徽2地农村地区孕产期保健服务总利用水平不高,服务质量有待加强。Objective To comprehensively understand the situation of antenatal care in Xinjiang and Anhui provinces and find out existing problems.Methods Married women 15-69 years old with pregnant history in Anhui and Xinjiang project provinces were surveyed with cluster random sampling method and the self-designed questionnaire in January,2006.Results The utility ratio of antenatal care service in Anhui and Xinjiang provinces was significant increased with the time（P〈0.05）.But some problems and challenges still existed such as late starting of the first antenatal care and un-adequate times of antenatal care.After the year 2000,only 52.5% of the pregnant women could receive the first checkup during the first trimester,and the percentage of women received no less than 5 times of checkup was 54.0% and the hospital delivery rate was only 68.1%.At the same time,there was a significant difference between Anhui and Xinjiang province.Conclusion The utilization and the quality of antenatal care service in the Anhui and Xinjiang province has remained at a low level.Positively measures such as health education and the construction of obstetric department should be taken to improve the service quality of health care for pregnant and postpartum.

关 键 词：孕产期保健服务 产前检查 住院分娩 

分 类 号：R173[医药卫生—妇幼卫生保健]