天津市孕期保健工作开展现状及孕产妇需求调查

Investigation on present condition and needs of the prenatal care for pregnant women in Tianjin

目的:了解天津市孕期保健工作开展的现状以及孕产妇对孕期保健服务的需求,为进一步提高孕期保健服务质量提供依据。方法:采用方便抽样的方法选取2017年4月在天津市四所三级甲等综合性医院以及一所妇产专科医院的产科门诊进行问卷调查,内容包括孕妇一般资料,孕期保健现状调查,孕产妇孕期保健需求调查表,对孕期保健服务形式等的意见和建议等。结果:有86.7%的孕妇能够在本次妊娠中严格按照孕期要求进行孕期保健,有41.3%的孕妇在孕期接受过助产士的保健服务,有69.9%的孕妇对目前孕期保健满意。孕妇对孕期保健知识的需求依次为孕期营养及合理用药、新生儿护理相关知识、孕期相关疾病的预防与治疗、母婴自我监测、分娩方式的选择和应对、母乳喂养相关知识、分娩镇痛相关知识、产褥期的科学应对、心理情绪变化的调整。结论:目前天津市的孕期保健工作开展效果较好,但仍有孕妇对孕期保健服务不满,应当大力开展相关工作,增加孕期保健形式,提高孕期保健服务质量。

Objective: To understand the current status of pregnancy health care in Tianjin and the demand of maternal health care services, so as to provide a basis for further improving the quality of health care in pregnancy. Methods: Pregnant women were chosen by convenient sampling method from 4 comprehensive first-class ternary hospitals and an obstetrics clinic of maternity hospital in Tianjin in April 2017. The questionnaire survey was including general information, the current status of prenatal care, maternal care needs, the opinions and suggestions for services, etc.Results: 86.7% of pregnant women were in strict accordance with the requirements for pregnancy care during pregnancy, 41.3% of pregnant women received midwife care during pregnancy, 69.9% of pregnant women for prenatal care satisfaction. The needs of pregnant women for prenatal care knowledge, in turn, nutrition and rational drug using during pregnancy, neonatal nursing knowledge, pregnancy related diseases prevention and treatment, and self-monitoring, the choice of delivery mode and response, breastfeeding related knowledge, knowledge labor analgesia, puerperal science dealing with the mood change, psychological adjustment. Conclusion: The effect of pregnancy care is good in Tianjin, but some pregnant women are dissatisfied for prenatal care. We should vigorously carry out relevant work to increase pregnancy care and improve the quality of health services during pregnancy.