论文
李新芝;唐景霞;张翼华;郭恒;牛强;张景玉;吕凤莲;唐美娥;郭淑霞
2009, 17(7): 409.
目的:了解新疆生产建设兵团1971～2006年间孕产期保健状况.方法:采取分层整群、四阶段、概率比例随石河子大学医学院预防医学系(832000)机抽样方法,调查员入户面对面问卷调查.结果:共调查有活产已婚育龄妇女6624人,2001年以来,产前检查率、孕早期(妊娠≤12周)检查率、师直≥8次产前检查率、团场≥5次产前检查率、住院分娩率分别达到了86.60%、66.64%、58.70%、65.19%、82.01%,在家分娩率降到14.10%,而产后访视率仅为32.01%.育龄妇女的分娩时期、民族、受教育程度、生育史、家庭年收入、职业与是否参加产前检查有关.结论:近几年孕产期保健状况有明显改善,但产前检查率、孕早期检查率和产后访视率偏低,应特别加强对文化程度低、从事农业、少数民族孕妇的健康教育,普及孕产期卫生保健知识,规范产后访视,提高孕产期保健服务质量和服务利用率.
Abstract：Objective:To investigate the situations of maternal health care among repreduetive aged women in Xinjiang preduc-tion and eonstruction corps from 1971 to 2006. Methods:Stratified duster, four-stage, and probability proportional random sampling methods were adopted, and face to face questionnaires were conducted by surveyors. Results:6,624 married aged reproductive women with live birth were investigted. Since 2001, the rates of prenatal examination, early pregnancy (≤12weeks) examination, and hospital delivery arrived at 86.60%, 66.64% and 82.01%, respectively. 58.70% of repreductive aged women received ≥8 times of prenatal examinations, and 65.19% with ≥5 times of prenatal examinations. The rate of home delivery dropped to 14. 10 %, while the rate of postpartum review was.only 32.01%. Delivery period, nationalities, ed-ucational level, childbearing history, family annual income, and occupation of reproductive aged women were relevant with the participation in prenatal examination. Conclusion:The status of maternal health care has been improved significantly. Howe-ver the rates of prenatal examinations, early pregnancy ex-amination and postpartum review are relatively low. Health education should be specially strengthened for the rural mi-nority pregnant women with low educational level. The quaff-ties and availabilities of maternal health care service can be improved through the popularization of maternal health care knowledge and the standardization of postpartum review.
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