四川省农村地区孕妇孕前健康检查工作开展现状分析

Analysis of the situation of pre-pregnancy health check in rural areas of Sichuan province

目的了解四川省农村孕妇孕前健康检查工作的开展现状,发现该项工作在农村开展可能存在的重难点,为推进此项工作在全省农村地区的广泛开展提供参考依据。方法选取四川省的成都、内江、南充等8个地市,在妇幼保健机构对农村孕期妇女进行调查。结果农村地区孕妇孕前健康检查率为33.26%。调查对象中意外怀孕现象普遍,意外怀孕率近40.00%。在计划怀孕的人群中,进行了孕前健康检查的比例不高,仅为55.29%。计划怀孕和个人对孕前检查的态度是影响农村孕妇是否进行孕前健康检查的因素。结论孕前健康检查在四川农村孕妇中开展情况不佳,孕检率低,出生缺陷预防意识不强,参与主动性差,对孕前健康检查工作应加大宣传力度。

Objective To investigate the situation of pre-pregnancy health check in rural areas of Sichuan province and get the key difficult points during the process of carrying out the work.Methods According to the economic situation in Sichuan province and geographic distribution,random eight areas in Sichuan province（Chengdu,Neijiang,Nanchong,Ziyang,Meishan,Zigong,Leshan and Suining）,investigate pregnant women in maternal and child health care institutions and family planning service institutions at all all levels in the areas above.Results Only 334people（33.26%）underwent the pre-pregnancy health check during the 974 pregnant women in rural areas.The rate of planned pregnancy is low;the rate of unintended pregnancy is close to 40.00%.55.29%of the planned pregnancy women didn′t undergo the pre-pregnancy health check.And the factors that affect their behavior of undergoing pre-pregnancy health check are whether planned pregnancy and personal attitude towards pre-pregnancy health check.Conclusion The rate of pre-pregnancy health check is low in the pregnant women from rural areas of Sichuan province,the health sector needs to make efforts to promote and enhance the awareness of the rural pregnant women to prevent birth defects and the initiative in participation.