中国中西部孕妇贫血状况及与产前保健的关系  

An investigation of prevalence of maternal anemia in midwest areas of China and its relationship with antenatal care

作　　者：侯杉杉[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,北京100191

出　　处：《中国妇幼健康研究》2009年第6期635-637,共3页Chinese Journal of Woman and Child Health Research

基　　金：联合国儿童基金会资助项目（0135YH601-11）

摘　　要：目的了解我国中西部46个县的孕妇贫血情况及其与产前保健之间的关系，分析存在的问题。方法利用联合国儿童基金会与中国卫生部目前在中国中西部12个省46个县进行的“母子系统保健项目”2006年的基线调查中资料，对孕20周及以上孕妇的检查及调查资料进行描述性和关联性分析。结果被调查的孕妇总贫血患病率和中重度贫血患病率分别为45．0％和20．3％；孕妇的产前检查率为90．5％，平均产检次数为2．95±1．94次，平均初检孕周为13．97±6．94周，孕早期产检率为44．4％，按时产检率为26．1％，取血化验率为31．0％；单因素分析显示，孕妇贫血与其文化程度、孕次、产次有关；多元Logistic回归分析显示，孕妇贫血与其文化程度和经济状况有关，与产前保健的指标无关联。结论我国中西部46个县的孕妇贫血患病率较高，产前保健质量差，应大力提高产前保健的服务质量。Objective To investigate prevalence of maternal anemia in 46 counties of midwest areas of China and relationship between maternal anemia and antenatal care and to analyse existing problems. Methods The examination results and investigation data of pregnant women at 20 weeks or more of gestation from the baseline survey of Mother and Baby Package Project in 2006 carried out by UNICEF and Chinese Ministry of Health in 46 counties of 12 provinces in midwest China were descriptively analyzed for prevalence of maternal anemia and its relationship with antenatal care. Results The total prevalence rate of maternal anemia and prevalence rate of moderate-severe degrees of maternal anemia were 45.0% and 20.3% respectively. The coverage rate of antenatal care was 90.5%, the average frequency of prenatal exaination was 2.95 ± 1.94, the average gestational week of pregnant women at first visit was 13.97 ± 6.94 weeks, the rate of antenatal examination in the first trimester of pregnancy was 44.4% and the timely prenatal examination rate was 26.1%. Proportion of pregnant women who received blood sample taking and blood routine examination was 31.0%. Single factor analysis showed that maternal anemia was related to educational level, gravidity and parity of the pregnant women. Multivariate logic regression analysis showed that maternal anemia was only related to educational level and economic status of the pregnant woman and there was no association between maternal anemia and antenatal care. Conclusion The prevalence rate of maternal anemia in 46 counties in midwest China is high and quality of the antenatal care is poor. The quality of antenatal care should be improved greatly to improve women＇ s nutritional status and reduce prevalance of anemia.

关 键 词：孕妇 贫血 产前保健 中西部地区 农村地区 

分 类 号：R173[医药卫生—妇幼卫生保健]