凉山州孕产妇围产保健服务利用现状分析

目的了解凉山州艾滋病感染孕产妇与正常孕产妇围产保健服务利用现状。方法以艾滋病高发区四川省凉山州为样本地区,选取2013~2014年检测确诊并可追踪的212例人类缺陷免疫病毒(human immunodeficiency virus,HIV)感染孕产妇为研究组,随机等距抽取402例正常孕产妇作为对照组,开展围产保健服务利用的问卷调查。结果两组孕产妇在民族、文化程度和家庭年收入比较,差异有统计学意义(P0.05)。HIV感染孕产妇的住院分娩比例、产后访视比例高于对照组,产检次数低于对照组(P0.05)。文化程度和家庭年收入的差异是两组孕产妇利用围产保健服务状况不同的主要原因。结论凉山州HIV感染和正常孕产妇的围产保健服务利用受诸多因素影响,在精准扶贫中应有针对性地推行免费孕产期保健和住院分娩项目,提高边远地区孕产妇系统管理率。

Analysis on the utilization of perinatal health care services of pregnant women in Liangshan area

Objective To identify perinatal care service utilization of pregnant women with human immunodeficiency virus(HIV) or without HIV in Liangshan areas.Methods A total of 212 human immunodeficiency virus (HIV) infected maternal women were selected as the study group, which were diagnosed and trackable from 2013 to 2014 in Liangshan Prefecture, Sichuan Province.402 normal pregnant women were randomly equidistantly selected as control group.A investigation on perinatal care service needs and demands by questionnaire was carried out.Results There were differences in ethnic groups,cultural degree, annual household income between the two groups(P<0.05).The proportion of hospitalized delivery and postpartum visit in pregnant women infected with HIV were higher than that in pregnant women without HIV(P<0.05).On the contrary, the times of antenatal examination in pregnant women infected with HIV were lower than the control group(P<0.05).The differences of cultural degree and annual family income were the main reasons between the two groups to use perinatal care service.Conclusion Many factors might affect perinatal care service utilization of pregnant women with or without HIV in Liangshan areas.Targeted implementation of free maternity care and hospital delivery projects as well as improve the management rate of pregnant women in remote areas should be promoted in targeted measures in poverty alleviation.