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Abstract To understand the utilization situation of maternal health care services of the women in Shanxi province，so as to provide a theoretical basis for improving the utilization level of maternal health care services and promoting maternal and child health work in Shanxi province. Methods: By the method of stratified cluster random sampling，a questionnaire survey was conducted in 3522 married women aged 20-49 who were hospitalized and delivered in 11 cities of Shanxi province from June to December 2020. The utilization of pregnancy health care services of these women was investigated. Results: There were 3490 valid questionnaires, of which 3201 (91.7%) women had registered during the first trimester of pregnancy. 3073 (88.1%) women had finished five or more prenatal examinations, 3231 (92.6%) respondents believed the nutrition guidance during pregnancy was necessary, and 78.8% respondents had received nutrition and weight gain guidance during pregnancy in maternity hospitals. 2962 (84.9%) respondents believed that psychological screening assessment during pregnancy was necessary, but only 39.8% respondents had been given the psychological screening assessment during pregnancy. There were 2545 (72.9%) women with less than 3 times of learning in school for pregnant women during pregnancy. Conclusion: The utilization of maternal health care services in Shanxi province is good，but it is still necessary to strengthen the maternal nutrition guidance and the psychological screening and evaluation services for the pregnant women，and to improve their learning in school for pregnant women.
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