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| 铜陵市再生育孕产妇产前检查现状及影响因素分析 |
| Analysis on status and influencing factors of prenatal examination of rebirth pregnant women in Tongling city |
| 投稿时间：2020-10-14 |
| DOI：10.3969/j.issn.1000-0399.2021.03.024 |
| 中文关键词: 再生育 产前检查 规范产检 影响因素 |
| 英文关键词: Rebirth Prenatal examination Standardize production inspection Influencing factors |
| 基金项目:铜陵市卫生健康委医学科研项目（项目编号：卫科研〔2019〕11号） |
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| 中文摘要: |
| 目的 了解铜陵市再生育孕产妇产前检查现状及相关影响因素，为进一步提高孕产期保健质量及制定干预措施提供科学依据。方法 采用横断面调查方法，分层整群抽取2019年3～12月铜陵市三区一县1 049例再生育产妇为研究对象，利用自行设计的调查问卷，由各乡镇卫生院/社区卫生服务中心孕产保健医护人员进行产后随访的同时，对产妇产前检查情况进行回顾性调查分析，同时采用单因素和多因素logistic回归分析影响再生育孕产妇产前检查的因素。结果 1 049例再生育产妇早孕建卡率87.2%，规范产检率78.8%。再生育产妇文化程度、常住地性质、本人及其配偶职业等方面比较，规范产检率的差异均有统计学意义（P<0.05）。logistic回归分析结果显示，多产是规范产检的不利因素（OR=0.495，95% CI：0.284~0.864）；知晓公共卫生免费服务（OR=2.169，95% CI：1.330~3.536）和市级医疗保健机构建卡可促进规范产检（OR=1.555，95% CI：1.052~2.298）。结论 再生育产妇规范产检率较低，需要多元化、个性化健康教育宣教，同时需要提升基层保健服务能力。 |
| 英文摘要: |
| Objective To understand the status quo of prenatal examination and related influencing factors of rebirth pregnant women in Tongling, and to provide the scientific basis for the formulation of intervention measures to further improve the quality of health care during pregnancy and childbirth.Methods A cross-sectional survey was conducted by stratified cluster sampling method, 1 049 cases of rebirth puerpera from March to December, 2019 in three districts and one county of Tongling City were selected as the research objects. The pregnant and obstetric health care staff of professionals in township or community health service centers investigated the situation of prenatal examination of puerpera during postpartum visit with the self-designed questionnaire.Results The rate of early pregnancy card establishment was 87.2%, and the standard rate of obstetric examination was 78.8%.Univariate analysis showed that educational level of the puerpera, residence and occupation of the puerpera and her spouse were related to the standard prenatal examination (P<0.05). Logistic regression analysis showed that high parity was a risk factor for standardized prenatal examination(OR=0.495, 95% CI: 0.284~0.864). Knowledge of free public health services(OR=2.169,95% CI:1.330~3.536) and the establishment of a card in municipal health care institutions could promote standardized prenatal examination(OR=1.555,95% CI:1.052~2.298).Conclusions The standardized rate of obstetric examination is low. Diversified and personalized health education are in need, and primary health care service should be improved as well. |
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