孕产妇保健服务利用现状调查  

Utilization of maternal health service in Chinese pregnant and puerperal women

作　　者：刘松[1] 于贞杰[1] 刘相瑜[1] 李向云[1] 黄冬梅[1] 王泮利[1] 

机构地区：[1]潍坊医学院公共卫生学院,山东潍坊261053

出　　处：《中国公共卫生》2012年第3期263-265,共3页Chinese Journal of Public Health

基　　金：教育部人文社会科学研究项目(09YJCZH096)

摘　　要：目的了解中国孕产妇保健服务需求和利用现状,探讨影响孕产妇保健服务利用的主要因素。方法应用自行设计的调查问卷对2009年7-12月间分娩的1 945名妇女进行调查,并对孕产妇保健服务利用的影响因素进行分析。结果孕早期系统保健管理卡建卡率为49.77%,产前保健指导率为82.98%,产后保健指导率为52.75%,产前检查率为99.33%,产前检查5次率为74.24%,住院分娩率为98.61%,产后访视率为42.21%,产后访视3次率为9.51%;影响孕产妇保健服务利用的因素主要有孕产妇年龄、职业、文化程度、就医距离、活产生育数、居住地以及婚姻状况等。结论孕产妇首次产前检查时间滞后,产后访视率低,孕产妇的孕期保健服务有待加强。Objective To assess the needs and utilization and the influencing factors of maternal health service in Chinese pregnant and puerperal women.Methods The women who gave birth to their babies between July and September,2009 in three provinces were investigated with a self-designed questionnaire,and χ2 test was used to analyze the influencing factors.Results Among the 1 945 women surveyed,the registration rate of systemic health management in early pregnancy was 49.77% and the health instruction rate was 82.98% in prenatal period and 52.75% in postnatal period.The rate of prenatal care was 99.33%,and 72.24% of the women received 5 times of prenatal care and the hospital delivery rate was 98.61%.The rate of postpartum visit was 42.21% and 9.51% of the women received 3 postpartum visits.The major influencing factors of the maternal health service utilization were age,occupation,education,distance to medical institution,number of children,residence,and marital status.Conclusion The time of first prenatal care is late and the rate of postpartum visit is low,and the maternal health service during pregnancy needs to be strengthened among Chinese pregnant and puerperal women.

关 键 词：孕产妇 保健服务利用 现状调查 

分 类 号：R173[医药卫生—妇幼卫生保健]