农村地区孕产期保健服务时间变化趋势分析.docVIP

农村地区孕产期保健服务时间变化趋势分析 【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。 【关键词】 孕产期保健服务；产前检查；住院分娩Survey on situation of antenatal care in rural areas，China YANG Li,CUI Ying,TIAN Xiaobo,et al.National Center for Women and Childrens Health,Chinese Center for Disease Control and Prevention ( Beijing 100013,China) Abstract： 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(P0.05).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. Key words： antenatal care;antenatal checkup;delivery at hospital 良好的孕产期保健服务是保护和促进母婴健康、提高婴儿出生质量的关键，对减少孕产妇死亡和儿童死亡具有重要作用。为了解新疆、安徽省2地农村孕产期保健服务的状况及变化情况，及时发现当前农村地区孕产期保健服务中存在的问