面向乡村孕妇的产前保健方法及产检结果分析(1)
摘 要：目的 通过对定陶县妇幼保健院的产检数据分析，掌握农村产前保健的现状，发现影响产检结果的主要因素，提供面向乡村孕妇产前保健方法的理论依据，提高乡村孕妇的产前保健意识。方法 通过对731名孕妇(其中624人为正常产妇，107人为高危产妇)的信息进行统计分析得出农村孕妇产前保健的特点，并使用单因素方差分析对孕妇的年龄、怀孕次数、生产次数和产检时间进行统计分析，得出影响产检结果的主要因素。结果 参与产前检查95%的孕妇年龄为20～39岁；85%的孕妇怀孕次数不超过2次；且一胎和二胎的孕妇超过94%；而产检时间集中在妊娠中、晚期。此外，孕妇怀孕次数和生产次数对产检结果有显著性影响(P>0.05)。孕妇年龄以及产检时间对检查结果没有显著性影响(P<0.05)。结论 随着年龄增长和生产次数的增加，孕妇对产检的重视程度降低，尤其在妊娠早期对产检的重视程度不够。怀孕次数和生产次数是影响孕妇健康的高危因素，产前保健对于保障乡村孕产妇及胎儿健康具有重要意义。
关键词：孕妇；产前保健；产前检查
, http://www.100md.com
中图分类号：R173 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.039
文章编号：1006-1959(2018)14-0129-04
Abstract：Objective To analyze the status of prenatal care in rural areas of Dingtao County Maternal and Child Health Hospital，to find out the main factors affecting the results of the prenatal examination，to provide a theoretical basis for prenatal care for rural pregnant women，and to improve the prenatal care awareness of rural pregnant women.Methods Through the statistical analysis of 731 pregnant women(including 624 normal maternal and 107 high-risk maternal women)，the characteristics of prenatal care in rural pregnant women were obtained，and the one-way analysis of variance was used to analyze the age，number of pregnancies，number of births and the time of the inspection was statistically analyzed，and the main factors affecting the results of the inspection were obtained.Results 95% of pregnant women who participate in prenatal examinations are 20 to 39 years old；85% of pregnant women do not have more than 2 times of pregnancy；and more than 94% of pregnant women with one and second births；and the time of birth check is concentrated in the middle and late stages of pregnancy.In addition，the number of pregnant women and the number of births had a significant effect on the results of the test(P>0.05).The age of pregnant women and the time of birth examination had no significant effect on the results(P<0.05).Conclusion With the increase of age and the increase of production times，pregnant women pay less attention to the physical examination，especially in the early pregnancy.The number of pregnancies and the number of births are high risk factors affecting the health of pregnant women.Prenatal care is of great significance for ensuring maternal and fetal health in rural areas.
, 百拇医药
Key words：Pregnant women；Prenatal care；Prenatal examination
產前保健的核心内容包括产前检查和产前健康教育[1]。产前检查是保证母婴健康的重要措施，而产前健康教育可以指导孕产妇掌握产前、分娩及产后的有关护理知识，做好围产期保健[2]。目前大多数城市孕妇能够主动接受产前健康教育并定期到医院进行产前检查，但是乡村孕妇不愿意主动去医院进行产前检查，这其中有多方面原因：①孕妇及家人对产前保健的重要性认识不足；②经产妇多根据已有经验而忽略了产前保健的重要性；③产前检查的费用全部由个人承担，增加了家庭开支；④多次往返医院，给家人带来了麻烦。这些都妨碍了乡村孕妇产前保健工作的开展。为了反映乡村孕妇产前保健的状况，提高产前保健意识，本文对731名孕妇产前检查信息进行统计分析，确定影响产检结果的高危因素。此项研究对于未来产前保健工作的开展，保障乡村孕产妇及胎儿健康具有重要意义。, http://www.100md.com(王雪萍 张凤芹 李月凤 韦翠银 李玉霞 邓丽娟 邱倩 高沛 郝冬梅)
关键词：孕妇；产前保健；产前检查
, http://www.100md.com
中图分类号：R173 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.14.039
文章编号：1006-1959(2018)14-0129-04
Abstract：Objective To analyze the status of prenatal care in rural areas of Dingtao County Maternal and Child Health Hospital，to find out the main factors affecting the results of the prenatal examination，to provide a theoretical basis for prenatal care for rural pregnant women，and to improve the prenatal care awareness of rural pregnant women.Methods Through the statistical analysis of 731 pregnant women(including 624 normal maternal and 107 high-risk maternal women)，the characteristics of prenatal care in rural pregnant women were obtained，and the one-way analysis of variance was used to analyze the age，number of pregnancies，number of births and the time of the inspection was statistically analyzed，and the main factors affecting the results of the inspection were obtained.Results 95% of pregnant women who participate in prenatal examinations are 20 to 39 years old；85% of pregnant women do not have more than 2 times of pregnancy；and more than 94% of pregnant women with one and second births；and the time of birth check is concentrated in the middle and late stages of pregnancy.In addition，the number of pregnant women and the number of births had a significant effect on the results of the test(P>0.05).The age of pregnant women and the time of birth examination had no significant effect on the results(P<0.05).Conclusion With the increase of age and the increase of production times，pregnant women pay less attention to the physical examination，especially in the early pregnancy.The number of pregnancies and the number of births are high risk factors affecting the health of pregnant women.Prenatal care is of great significance for ensuring maternal and fetal health in rural areas.
, 百拇医药
Key words：Pregnant women；Prenatal care；Prenatal examination
產前保健的核心内容包括产前检查和产前健康教育[1]。产前检查是保证母婴健康的重要措施，而产前健康教育可以指导孕产妇掌握产前、分娩及产后的有关护理知识，做好围产期保健[2]。目前大多数城市孕妇能够主动接受产前健康教育并定期到医院进行产前检查，但是乡村孕妇不愿意主动去医院进行产前检查，这其中有多方面原因：①孕妇及家人对产前保健的重要性认识不足；②经产妇多根据已有经验而忽略了产前保健的重要性；③产前检查的费用全部由个人承担，增加了家庭开支；④多次往返医院，给家人带来了麻烦。这些都妨碍了乡村孕妇产前保健工作的开展。为了反映乡村孕妇产前保健的状况，提高产前保健意识，本文对731名孕妇产前检查信息进行统计分析，确定影响产检结果的高危因素。此项研究对于未来产前保健工作的开展，保障乡村孕产妇及胎儿健康具有重要意义。, http://www.100md.com(王雪萍 张凤芹 李月凤 韦翠银 李玉霞 邓丽娟 邱倩 高沛 郝冬梅)