过期妊娠妇女产前保健服务利用的影响因素分析  

Analysis of the Relevant Factor on the Prenatal Care Service Utilizations for Postterm Pregnancy

作　　者：郭丽君[1] 刘英惠[2] 刘菊芬[3] 任爱国[3] 

机构地区：[1]新乡医学院管理学院,河南新乡453003 [2]北京大学第一医院妇儿保健中心,北京100034 [3]北京大学生育健康研究所,北京100191

出　　处：《中国初级卫生保健》2011年第5期34-37,共4页Chinese Primary Health Care

摘　　要：目的了解过期妊娠发生的产前保健服务利用因素。方法研究对象为嘉兴市在1993—2000年间分娩单胎活产的妇女16033人,其中过期妊娠1008人。采用t检验和χ2检验比较不同人群计量和计数资料的差异,应用两分类多元Logistic回归模型分析过期妊娠妇女产前保健服务利用的影响因素。结果孕早期没有接受早孕检查妇女的过期妊娠发生率(9.1%)高于进行早孕检查的妇女(5.3%)。过期妊娠妇女第一次产前检查孕周[(11.8±6.1)周]晚于足月产组[(10.1±4.9)周]。孕晚期接受产前保健服务妇女的过期妊娠发生率最高(14.0%),其次是孕中期组(9.4%)、孕早期组(5.7%)。妇女职业和丈夫生育年龄是过期妊娠妇女产前保健服务利用的影响因素。结论孕早期没有接受早孕检查、接受产前保健服务晚的妇女发生过期妊娠的风险高,影响过期妊娠发生的产前保健服务利用因素是妇女的职业和丈夫的生育年龄。OBJECTIVE To examine the prenatal care service utilization factors for postterm pregnancy. METHODS Study population consisted of 16 033 women who delivered singleton live births in Jiaxing City, Zhejiang Province,from 1993 to 2000. Including the 1 008 women who prolonged pregnancy. Independent-samples t test and X2 test were used to test the between-groups differences of continuous and categorical variables, respectively. Multivariate logistic regression was conducted to examine the factors associated with the prenatal care service utilizations for postterm pregnancy. RESULTS Women who received early prenatal care had lower（5.3%）postterm incidence than those who did not receive the service（9.1%）. The mean of gestational weeks at first prenatal visit among women of postterm pregnancy（11.8±6.1）were higher than those the full term delivery women（10.1±4.9）. Women who received late prenatal care had higher（14.0%）postterm incidence than those the women who received interim prenatal care（9.4%）,or received early prenatal care（5.7%）. Multivariate logistic regression showed that postterm pregnancy risk was associated with jobs for women and reproductive age for husband. CONCLUSION The prenatal care service utilization factors for prolonged pregnancy including the women who did not received early prenatal care and women who received late prenatal care. That postterm pregnancy risk was associated with jobs for women and reproductive age for husband.

关 键 词：产前保健 卫生保健提供 危险因素 过期妊娠 

分 类 号：R714.21[医药卫生—妇产科学]