九江市农村育龄妇女孕产期保健服务需求状况分析

Analysis on demand status of health care services of rural women of childbearing age during pregnant and puerperal period in Jiujiang city

目的:了解九江市农村育龄妇女孕产期保健服务需求的现状,探讨农村育龄妇女孕产期保健服务需求的差异。方法:采用分层-整群抽样方法随机抽取九江市3476例农村育龄妇女作为调查对象进行结构式访谈问卷调查。结果:农村育龄妇女普遍存在孕产期保健意识缺乏现象,孕期保健和住院分娩地点主要选择县、乡两级,农村育龄妇女孕期保健的目的主要是为了了解胎儿的发育情况;半数以上不愿意接受医生指导的孕期常规筛查项目,调查对象认为"没必要"筛查;尚有17.3%的农村育龄妇女在停经4个月后才进行初次产检;1.4%的农村育龄妇女选择家庭、村级卫生所为分娩地点。结论:建议给予县、乡两级孕产期保健服务能力建设以持续和重点支持。建议采用进村入户发放传单、张贴标语、讲解典型事例、与家庭成员商谈等更深入细致的健康教育形式,消除农村育龄期妇女孕产期保健知识的盲点。

Objective：To understand the demand status of health care services of rural women of childbearing age during pregnant and puerperal period in Jiujiang city, explore the differences of demand of rural women of childbearing age during pregnant and puerperal period.Methods：3 476 rural women of childbearing age in Jiujiang city were selected by stratified-random cluster sampling method, then structural interviews and questionnaires were conducted.Results：The phenomenon of lack of health care consciousness during pregnant and puerperal period existed among rural women of childbearing age widely, the main places of antenatal care and delivery were hospitals at county and village levels, the aim of antenatal care in rural women of childbearing age was to understand the development situation of fetuses; more than half of the rural women of childbearing age were unwilling to accept routine screening during pregnancy guided by doctors, ＂not necessary＂ was the main cause; 17.3% of the rural women of child bearing age went to see a doctor for prenatal examination for the first time at 4 months after menolipsis; 1.4% of the rural women of child bearing age chose home and village-level clinics for the delivery location.Conclusion：The ability of health care services during pregnant and puerperal period in hospitals at county and village levels should be sustained and supported especially; the modes of health education such as issuing leaflets, putting up posters, explaining the typical examples, discussing with family members should be taken to eliminate the blind spot of health knowledge about health care services of rural women of childbearing age.