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Abstract To improve the coverage rate of pregnancy health care services, ensure the safety of mother and infant, reduce the mortality rate during pregnancy, and improve the level of pregnancy health care services by implementing the comprehensive service model project of pregnancy health care. Methods: The comprehensive service model of pregnancy health care was piloted in Donggang district of Rizhao city. The situation before and after the implementation of the service model of pregnancy health care in 2017-2020 was compared, and the relevant data were analyzed. Results: After the implementation of the comprehensive health care service model during pregnancy, 7778 pregnant women had received the comprehensive health care services and had completed the pregnancy process. 7586 women had accepted prenatal examination. The number of pregnant women aged 30 to 34 had increased year by year, while the number of pregnant women aged 25 to 29 years old had decreased year by year. The proportion of the first child of the women had increased year by year, while the proportions of the second and the third child had decreased year by year(all P＜0.05). After the implementation of the project, the coverage rate of pregnancy health care had increased significantly, among which, the rate of prenatal examination(97.5%) of the women was significantly higher than that(93.4%, 93.1%) before the implementation of the project, the rate of ≥5 times of prenatal examination(94.3%) and the rate of early prenatal examination(95.6%) of the women also had increased significantly. The rate of hospital delivery of the women remained at 100%, the rate of cesarean section fluctuated at 35.1%. The rate of postpartum visits(93.3%) of the women after the implementation of the project had increased significantly, and the maternal mortality rate reached zero since the implementation of the project in 2019. Conclusion: This survey showed that the age of the pregnant women increased year by year, the proportion of the second or the third child decreased year by year, and the proportion of advanced women increased, so the pregnancy and perinatal management should be strengthened. Through the implementation of the comprehensive service model of pregnancy health care, the level of pregnancy health care services in the region, the various health service indicators, and maternal and infant safety have been significantly improved.
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