2017年成都市锦江区孕产妇孕期前后保健服务利用情况调查

Investigation and Analysis of Maternal Health in Jinjiang District of Chengdu

目的了解成都市锦江区孕产妇保健服务利用现状,探索保健服务利用的影响因素,为提高孕产妇保健水平提供更有针对性的参考依据。方法采用随机整群抽样,在锦江区开展社区诊断,其中包含313名本地居住满半年且至少有1个1岁以下孩子的妇女,询问其叶酸服用时间、孕前检查、建卡时间等孕期前后保健服务接受情况。结果流动与户籍孕产妇孕前3个月及更早期叶酸补充率分别为40. 48%和54. 59%,早孕建卡率分别为84. 52%和92. 58%,外来妇女就业率更低。结论孕产妇保健在流动与本地户籍妇女中存在较大差异,应扩大实施流动孕产妇管理项目,改善其社会适应性,提高流动孕产妇保健服务利用率。

Objective To understand the current situation of maternal health care service utilization in Jinjiang District of Chengdu,identify factors influencing utilization of health care services,and further improve quality of maternal health care to provide a more targeted reference for improving maternal health. Methods Community diagnosis was conducted in Jinjiang District in patients selected by randomized cluster sampling including 313 women who had lived for half a year and had at least one child under the age of one year. The subjects were asked about acceptance of maternal health care services as folic acid taking time,pre-pregnancy examination and filing time. Results During the first three trimester and maternal pregnancy,the folic acid supplementation rate was 40. 48% and 54. 59%, respectively;and the filing rate of early pregnancy was 84. 52% and 92. 58%,respectively. The employment rate of women from other places was lower. Conclusion The situations of maternal health care are quite different between floating women and women with local household registration. It is necessary to expand the implementation of projects concerning management of floating pregnancy and lying-in women,improve their social adaptability, and improve the utilization rate of health services in floating pregnant and lying-in women.