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| The current situation analysis of physical examination for wowen before pregnancy who wanted the second child after comprehensive twochild policy |
| 1. School of Medicine of Hexi University, Zhang Ye, Gansu,734000 ; 2. Zhang Ye People’s Hospital affiliated Hexi University; 3. Gaotai County Hospital of Traditional Chinese Medicine |
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Abstract To know the current physical examination situation of multiparas before pregnancy who wanted the second child after the comprehensive twochild policy, and to analyze its influential factors. Methods: 227 multiparas who came to hospital for birthing the second child from two hospitals of Zhangye city in Gansu Province were investigated by self designed questionnaire. Results: The rate of physical examination before pregnancy of these women was 39.2(89/227). Multiariable logistic regression analysis showed that multiparas whom live in the city (OR 2.61， 95% CI 1.165.85), whose family income over 100000 yuan (OR 2.64, 95%CI 1.225.71), the education level of their husbands at senior high school (OR 1.60, 95% CI 0.614.16), and who had accepted physical examination before the first pregnancy(OR 11.44, 95% CI 5.4333.56）had higher rate of physical examination before the second pregnancy. But the multiparas with unwanted pregnancy had lower rate of physical examination before the second pregnancy (OR 0.37, 95% CI 0.170.80). Conclusion: This study shows that the rate of multiparas accepting physical examination before the second pregnancy is low. In order to increasing the ratio of wanted pregnancy and improving the acceptance of physical examination before pregnancy, different level of medical serves institutions should all strengthen publicity and education of family planning and physical examination before pregnancy.
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