山东省日照市东港区孕期保健综合服务模式效果分析

Effect analysis of comprehensive service model for pregnancy health care service in Donggang district of Rizhao city

目的:通过实施孕期保健综合服务模式项目,提升孕期保健服务覆盖率,保障母婴安全,降低孕期死亡率,提高孕期保健服务水平。方法:2019年在日照市在东港区试点开展孕期保健综合服务模式,比较2017-2020年孕期保健服务模式实施前后情况,分析相关考察指标。结果:孕期保健综合服务模式实施后,接受孕期保健综合服务并完成妊娠的孕产妇共7778例,产前检查7586例。30~34岁孕产妇逐年增加,25~29岁孕产妇逐年减少;一胎比例逐年增加,二胎、三胎比例逐年减少(均P<0.05)。项目实施后孕期保健覆盖率明显提高,其中产前检查参检率(97.5%)高于项目实施前(93.4%、93,1%),产前检查≥5次(94.3%)以及早期产前检查率(95.6%)提高;孕期住院分娩率保持100%,剖宫产率波动在35.1%,产后访视率(93.3%)提升,2019年项目实施以来孕产妇死亡率为零。结论:本次调查的孕产妇年龄逐年增加,2胎、3胎占比逐年下降,高龄产妇占比增加,应加强孕产期管理。通过孕期保健综合服务模式实施,使本地区孕期保健服务水平明显提升,各项保健服务指标得到提升,母婴安全水平得到提高。

Objective:To improve the coverage rate of pregnancy health care services,ensure the safety of mother and infant,reduce the mortality rate during pregnancy,and improve the level of pregnancy health care services by imple-menting the comprehensive service model project of pregnancy health care.Methods:The comprehensive service model of pregnancy health care was piloted in Donggang district of Rizhao city.The situation before and after the implementa-tion of the service model of pregnancy health care in 2017-2020 was compared,and the relevant data were analyzed.Re-sults:After the implementation of the comprehensive health care service model during pregnancy,7778 pregnant women had received the comprehensive health care services and had completed the pregnancy process.7586 women had accepted prenatal examination.The number of pregnant women aged 30 to 34 had increased year by year,while the number of pregnant women aged 25 to 29 years old had decreased year by year.The proportion of the first child of the women had increased year by year,while the proportions of the second and the third child had decreased year by year(all P<0.05).After the implementation of the project,the coverage rate of pregnancy health care had increased signif-icantly,among which,the rate of prenatal examination(97.5%)of the women was significantly higher than that(93.4%,93.1%)before the implementation of the project,the rate of≥5 times of prenatal examination(94.3%)and the rate of early prenatal examination(95.6%)of the women also had increased significantly.The rate of hospital deliv-ery of the women remained at 100%,the rate of cesarean section fluctuated at 35.1%.The rate of postpartum visits(93.3%)of the women after the implementation of the project had increased significantly,and the maternal mortality rate reached zero since the implementation of the project in 2019.Conclusion:This survey showed that the age of the pregnant women increased year by year,the proportion of the second or the third child decreased year by year,and the proportion of advanced women increased,so the pregnancy and perinatal management should be strengthened.Throughthe implementation of the comprehensive service model of pregnancy health care,the level of pregnancy health care services in the region,the various health service indicators,and maternal and infant safety have been significantly im-proved.