中国不同地区1971-2003年孕产期保健服务状况调查

赵凤敏; 郭素芳; 李伯华; 崔颖; 吴匡时

Abstract

赵凤敏,郭素芳,李伯华,崔颖,吴匡时.中国不同地区1971-2003年孕产期保健服务状况调查[J].Chinese journal of Epidemiology,2005,26(3):172-176

中国不同地区1971-2003年孕产期保健服务状况调查

Survey on the situation of antenatal care in different regions of China, in 1971-2003

Received:June 10, 2004

DOI：

KeyWord: 孕产期保健服务产前检查住院分娩

English Key Word: Antenatal care Antenatal checkup Institutio nal delivery

FundProject:联合国人口基金资助项目(China/UNFPA/RH/FPCPR/03/P01)

Author Name	Affiliation
ZHAO Feng-min	National Center for Women and Children's Health,Chinese Center for Disease Control and Prevetion,Beijing 100013,China
GUO Su-fang	National Center for Women and Children's Health,Chinese Center for Disease Control and Prevetion,Beijing 100013,China
LI Bo-hua	National Center for Women and Children's Health,Chinese Center for Disease Control and Prevetion,Beijing 100013,China
CUI Ying	National Center for Women and Children's Health,Chinese Center for Disease Control and Prevetion,Beijing 100013,China
WU Kuang-shi.	中国人口与信息发展中心

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Abstract:

目的　全面了解近30年来我国孕产期保健服务变化情况。方法　采用分层、三阶段的容量比例抽样方法获得调查对象由调查员入户对其进行面对面的问卷调查。结果　随着时间推移,调查对象产前检查覆盖率和服务质量以及住院分娩比例等都在不断增加,孕妇产前检查比例已由 20世纪70年代的38.7%上升到 2001 年以来的95.9%,住院分娩率则相应的由20.1%上升到87.4%。但是当前我国孕产期保健服务中仍然存在产前检查开始时间较晚,产前检查次数较少,产前检查项目不完整等问题。近3年来孕早期检查比例只有71.7%,5次及以上产前检查的比例也只达到64.1%,仅仅29.1%能够在产前完成7项基本的检查项目。另外,住院分娩比例也还需进一步提高,非住院分娩妇女中79.5%还是由接生员/村医和家人/朋友接生。不同地区比较,同时期西部地区几乎各项指标都明显落后于东部发达地区,存在明显的地区差异。结论　经过 30 年来的努力,全国各地区产前检查覆盖率和住院分娩率明显提高,产前保健服务质量得到加强,但存在地区差异,应加强对西部地区的重视和投入力度。

English Abstract:

Objective To comprehensively understand the situation of antenatal care in the last thirty years and to identify the existing problems and challenges.Methods　PPS me thod was used to select those women under study and face to face interview w as carried out at the house.Results　The quality and coverage rate of antenatal care as well as the rate of hospital deliv ery had been co ntinuously increasing over time and the coverage rate of antenatal checkup had increased from 38.7% in 1970s to 95 .9 %, while the institutional delivery rose from 20.1 % to 87 .4 % in the last three years.However,problems and challenges were found refering to the of delay first antenatal care, inadequate timing and with incomplete contents.Only 71.7% of the pregnant women had received first checkup during the first three months .64.1% of the women received 5 times or mo re of the checkups w hile only 29 .1% of the w omen had received all the 7 basic checkup items.Rate of hospital deliv ery was unsatisfactory that most (79.5%)of the women had the delivery not in the hospitals when under the assistance of midwife/village doctors .Indicators showed that the worst was in the w ester n regions.Conclusion　Great pro gress had been made in the field of antenatal care in last thirty yeats in China .The coverage rate of antenatal checkup and institutional delivery had been improved.But the quality of antenatal care should be further improved,especially in the western regions.

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