绿春县2453例农村孕产妇产前检查情况分析

The Status of Prenatal Examination in 2 453 Rura Pregnant Women in Luchun County

目的了解绿春县农村孕产妇的产前检查情况,产前检查与分娩结局的关系.方法收集2005年1月1日至2008年12月31日在我院住院分娩孕37周至42周的农村孕产妇2453例,通过整理住院病历及孕产妇系统保健卡(册),分析孕期产前检查情况及分娩结局.结果孕期产前检查3次以上18例,占0.7%,孕期产前检查2次52例,占2.1%,孕期产前检查1次82例,占3.3%,整个孕期没有做过产前检查的2301例,占93.8%.不做产前检查孕妇中,认为妊娠属生理现象,没有必要做产前检查的1583例,占69%,交通不便不做产前检查的452例,占20%,由于经济困难没有做产前检查的125例,占5%,未做产前检查,也不说明原因的141例,占6%.孕产妇死亡3例,病死率0.1%.其中:妊高征2例,前置胎盘1例,2例没有做过产前检查,占孕产妇妇死亡中67%,1例曾做过产前检查,占孕产妇死亡中33%.结论产前检查是保障云南省"降低孕产妇死亡率和消除新生儿破伤风"项目有效实施的基础.提高住院分娩率是保障母婴生命安全的重要举措.

Objective To investigate the status of prenatal examination in rural pregnant women,and analyze the relationship between prenatal examination and delivery outcomes.Methods We collected the clinical data of 2 453 rural pregnant women with 37～42 weeks gestation who delivered in our hospital from January 1st,2005 to December 31st,2008.We analyzed the the status of prenatal examination and delivery outcomes by sorting the case history and the health care cards of these pregnant women.Results 18 pregnant women received more than three times of prenatal examination,accounting for 0.7% of all the selected pregnant women;52 pregnant women received two times of prenatal examination,accounting for 2.1%;82 pregnant women received one times of prenatal examination,accounting for 3.3 %;2 301 pregnant women never received any prenatal examination,accounting for 93.8 %.Among the pregnant women who never received any prenatal examination,1583 pregnant women thought it was unnecessary to receive prenatal examination,accounting for 69%;452 pregnant women received no prenatal examination because of inconvenient communication,accounting for 20%;125 pregnant women received no prenatal examination because of financial problem,accounting for 5%;141 pregnant women received no prenatal examination without definite reasons,accounting for 6%.Among all the selected pregnant women,3 pregnant women died during delivering,the death rate was 0.1%.Among the death cases,2 cases with pregnancy-induced hypertension syndrome and 1 case with placenta praevia;2 cases never received any prenatal examination,accounting for 67% of the death cases,and 1 case received prenatal examination,accounting for 33%.Conclusions Prenatal examination is a guarantee for effective performing the ＂reduce the death rate of pregnant women and eliminate neonatal tetenus＂ project.It is an important measure to improve the rate of delivery in hospital to ensure the life safety of mothers and infants.