河北5县孕产妇围生保健特征

Characteristics of perinatal health care in 5 counties of hebei province, 1997 - 2000

目的了解北方农村孕产妇围生保健特征的分布情况。方法对1997～2000年河北5县孕产妇的围生保健资料进行频数分析。结果早孕检查率由1997年的77．3％ (10 513／13 607)上升到2000年的81．7％(10 998／13 460);平均产前检查次数和5次以上产前检查率1997年最高,为7．0次和87．4％(11 893／13 607),2000年时最低,为5．8次和73．2％ (9 850／13 460);1997年的住院分娩率为87．4％(11 879／13 607),2000年时上升到97．3％ (13 103／13 460);4年间3次及3次以上产后访视率均在95．0％以上,最高为(3．4±0．7)次, 最低为(3．3±0．6)次。结论河北省农村地区的住院分娩率已接近南方经济发达地区的水平;孕妇平均产前检查次数与5次及5次以上产前检查率呈逐年下降的趋势,这一问题有待进一步研究。

Objective To describe the characteristics of perinatal health care in 5 counties of Hebei province, the northern rural areas of China. Methods All the related data used were from the Perinatal Health Care （PHC） surveillance system that was established in 1991, and the related frequencies were calculated to describe the distributions of characteristics of perinatal health care. Results The majority （77.3 % in 1997 and 81.7 % in 2000） of women had a prenatal visit before their twelfth week of pregnancy. In 1997 and 2000, the average numbers of prenatal visits were 7.0 （the highest） and 5.8 （the lowes0 respectively. And the majority of women had at least 5 prenatal visits, there were the highest rate （87.4 %） in 1997 and the lowest rate （73.2 %） in 2000. Most women delivered at hospitals, the rates of in hospital delivery were 87.4 % （the lowest） in 1997 and 97.3 % （the highest） in 2000. More than 98.0 % of the women had at least one postpartum visit. Conclusion The rate of in-hospital delivery in northern rural areas was approaching that of developed southern areas. The majority of women had at least 5 prenatal visits, but the rate of women with at least 5 prenatal visits was presented a declined trend from 1997 to 2000, and for the causes of this declined trend, a further study should be made in the future.