生育政策调整初期重庆市孕妇建卡现状及影响因素  

Analysis on the status and influencing factors of pregnant women's card building in Chongqing at the early stage of family planning adjustment

作　　者：谭严[1] 周密[1] 闫晶晶 冉波[1] TAN Yan;ZHOU Mi;YAN Jing-jing;RAN Bo(Department of Nursing,Chongqing Three Gorges Medical College,Chongqing 404120,CHINA)

机构地区：[1]重庆三峡医药高等专科学校护理系,重庆404120

出　　处：《海南医学》2018年第19期2725-2728,共4页Hainan Medical Journal

基　　金：2016年重庆市教委科学技术研究项目(编号:kj1602505)

摘　　要：目的分析孕妇建卡相关指标,为采取措施提高孕产妇保健水平提供科学依据。方法对2016年1～12月在重庆万州区各孕产妇保健网点产检建卡的14 745例孕妇的基本资料进行统计分析。结果全面二孩政策实施后,经产妇(7 390例)高于初产妇(7 355例),建卡妊娠风险预警因素的重点孕妇4 887例(33.14%),呈现出与高龄、剖宫产后再次妊娠的相关风险因素较高;14 745例孕妇建卡时的孕周范围为5～41周,其中早孕建卡7 255例(49.20%),中孕建卡4 842例(32.84%),晚孕建卡2 648例(17.96%);Logistic回归分析结果显示,居住地在农村、有分娩经验是降低早孕建卡的因素(P<0.05),而较高的文化程度则是提高早孕建卡率的因素(P<0.05)。结论妇幼保健优质资源供需矛盾突出,建议孕妇管理关口前移以降低妊娠风险。Objective To analyze the related indicators of pregnant women card building, and to provide scientific basis for measures to improve maternal health. Methods The basic data of 14 745 pregnant women with card in health care networks in Wanzhou District of Chongqing from January 2016 to December 2016 were statistically analyzed. Results After the implementation of the comprehensive two-child policy, the number of multipara（7 390 cases）was bigger than that of primipara（7 355 cases）, and 4 887（33.14%） of the pregnant women were involved in the early warning of pregnancy risk, showing a high risk of re-pregnancy after gestation and cesarean section. The gestational age range of 14 745 pregnant women was 5~41 weeks, including 7 255 cases（49.20%） in early pregnancy, 4 842 cases（32.84%） in mid-pregnancy, and 2 648 cases in late pregnancy（17.96%）. The logistic regression analysis results of influencing factors showed that living in rural areas, having childbirth experience are the factor for reducing card building in early pregnancy（P〈0.05）, and a higher level of education can improve the rate of card building in early pregnancy（P〈0.05）. Conclusion The contradiction between supply and demand of high quality maternal and child health care resources is prominent. Therefore, it is suggested that the management of pregnant women should be moved forward to reduce the risk of pregnancy.

关 键 词：孕妇 二孩政策 建卡 对策 影响 

分 类 号：R714.1[医药卫生—妇产科学]