新疆生产建设兵团已婚育龄妇女孕产期保健状况调查

Investigation on Maternal Health Care Status among Married Reproductive Aged Women in Xinjiang Production and Construction Corps

目的:了解新疆生产建设兵团1971～2006年间孕产期保健状况。方法:采取分层整群、四阶段、概率比例随机抽样方法,调查员入户面对面问卷调查。结果:共调查有活产已婚育龄妇女6 624人,2001年以来,产前检查率、孕早期(妊娠≤12周)检查率、师直≥8次产前检查率、团场≥5次产前检查率、住院分娩率分别达到了86.60%、66.64%、58.70%、65.19%、82.01%,在家分娩率降到14.10%,而产后访视率仅为32.01%。育龄妇女的分娩时期、民族、受教育程度、生育史、家庭年收入、职业与是否参加产前检查有关。结论:近几年孕产期保健状况有明显改善,但产前检查率、孕早期检查率和产后访视率偏低,应特别加强对文化程度低、从事农业、少数民族孕妇的健康教育,普及孕产期卫生保健知识,规范产后访视,提高孕产期保健服务质量和服务利用率。

Objective ： To investigate the situations of maternal health care among reproductive aged women in Xinjiang production and construction corps from 1971 to 2006. Methods： Stratified cluster, four-stage, and probability proportional random sampling methods were adopted, and face to face questionnaires were conducted by surveyors. Results： 6,624 married aged reproductive women with live birth were investigated. Since 2001, the rates of prenatal examination, early pregnancy （ ≤12 weeks） examination, and hospital delivery arrived at 86.60%, 66.64% and 82.01%, respectively. 58.70% of reproductive aged women received ≥8 times of prenatal examinations, and 65.19% with ≥5 times of prenatal examinations. The rate of home delivery dropped to 14.10 % , while the rate of postpartum review was only 32.01%. Delivery period, nationalities, educational level, childbearing history, family annual income, and occupation of reproductive aged women were relevant with the participation in prenatal examination. Conclusion ： The status of maternal health care has been improved significantly. However the rates of prenatal examinations, early pregnancy examination and postpartum review are relatively low. Health education should be specially strengthened for the rural minority pregnant women with low educational level. The qualities and availabilities of maternal health care service can be improved through the popularization of maternal health care knowledge and the standardization of nostnartum review.