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| The investigation on the implementation of pre-pregnancy health examination intervention measures |
| Yunnan Population and Family Planning Research Institute，NHC Key Laboratory of Periconception Health Birth in Western China, Key Laboratory of Fertility Regulation and Minority Birth Health Research of Yunnan Province, Kunming, Yunnan Province, 650021 |
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Abstract Objective: To investigate the implementation of pre-pregnancy health examination intervention measures, and to explore the improvement measures. Methods: The field quantitative and qualitative research were carried out in people of child-bearing age, managers, and service providers from 25 counties of Yunnan province (cities and districts) in 2018, where pre-pregnancy health examination program and other public health programs had implemented. Results: In the included 171 people in childbearing age, 50.9% people had exposed to risk of birth defect, and the top three risk categories were nutritional lifestyle (33.3%), chronic disease (28.6%), and infectious disease (21.4%). 66.7% people who exposed to risk had implemented the pre-pregnancy health intervention measures. The availability of face-to-face counseling and guidance, knowledge, attitude and behavior, as well as the quality of service, skills, and service steps had affected the implementation of pre-pregnancy health intervention measures of the people. Conclusion: In order to provide the better supportive environment for people in child-bearing age with the best health status of pregnancy, the appropriate interventions or refer to other services stations should be suggested by providing information face to face, teaching skills, promoting the knowledge, improving the attitude and behavior of people, and optimizing the service quality and service steps.
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