孕前保健服务的现状调查及建议

Research and advices on preconception care services

目的探讨孕前保健服务对孕产妇及围生儿结局的影响。方法采用问卷调查法,对1 100例在妇产科进行产前检查的孕妇进行调查,并记录产妇分娩结局。结果孕前保健普及率较低,占17.18%;91.64%的孕妇认为孕前保健很重要,5.91%的孕妇认为孕前保健没必要实施,2.45%的孕妇对孕前保健的重要性呈中立态度;孕前检查组孕妇妊娠结局优于非孕前检查组(P<0.01或P<0.05)。结论为适应围孕期人群需要,应加强孕前保健知识的教育,探讨新的孕前保健模式,从而达到优生优育的目的。

Objective To explore the effects of preconception care services on pregnant women and their newborn. Methods A total of 1 100 pregnant women were enrolled and investigated with a self- designed questionnaire,and the outcomes of their delivery were recorded. Results The cover rate of precon- ception care services was very low and it was only about 17.18%. There were 91.64% of pregnant women who believed that preconception care was very impor- tant,and 5.91% thought that it was not necessary,and 2.45% with a neutral attitude. The outcomes of pregnant women who had physical examination before pregnancy was better than those who had not （ P 〈 0.01 or P 〈 0.05 ）. Conclusion The education of preconception care should be strengthened and new mode of preconception care should be explored so as to meet the needs of people ready for pregnancy and achieve the aim of healthy birth and child care.