四川省已婚育龄妇女孕产期保健情况5年评价

目的了解四川省20-49岁已婚育龄妇女孕产期保健情况，为制定进一步改善孕产期保健服务的政策、措施提供参考依据。方法分析比较四川省第3次、第4次卫生服务调查资料。结果调查地区2003年孕早期检查率城乡分别为86．8％、49，7％、产前检查率城乡分别为96.0％、53．0％、产后访视率城乡分别为52．3％、28．5％；2008年孕早期检查率城乡分别为83．8％、67．8％、产前检查率城乡分别为99．4％、60．8％、产后访视率城乡分别为60．4％、29．6％。除农村孕早期检查率有所提高外，其余均无明显变化，且各类指标农村均远低于城市。已婚育龄妇女产前检查流向发生变化，产前检查选择县级及以上妇幼保健机构、医院的比例在不断提高，而到卫生院的比例在明显下降。结论育龄妇女保健意识在增强，卫生服务需求不断提高，加强妇幼保健工作，加强县、乡两级医疗卫生机构孕产期保健服务能力建设，提高农村育龄妇女的受教育程度，有助于改善孕产期保健状况。

Evaluation on the health status of married fertile age women for five years in Sichuan Province

Objective To investigate the health status of married fertile age women aged 20 ~ 49 years old for five years in Siehuan Province, so that to formulate related policy and measures for improving the health service for pregnant and perinatal period of pregnant women. Methods The date of the forth and third health service investigation were analyzed and compared. Results In 2003, the inspection rates of early pregnant of pregnant women in urban and rural areas were 96. 0% and 99.4% respectively. The inspection rates of ante partum in urban and rural were 96. 0% and 99. 4% respectively and visiting rates of post partum were 60. 4% and 52. 3% respectively. In 2008, the inspection rates of early pregnant in urban and rural areas were 83.8% and 67.8% respectively and inspection rates of ante partum were 99.4% and 60. 8% respectively. The visiting rates of post partum were in urban and rural areas 60.4% and 29. 6% respectively. When compared with health status in 2003, there was no significant difference except for the increase inspection rates of early pregnant in urban area and the rates of other indexes in rural area were significantly lower than those in urban area. The hospital level of early pregnant inspection for pregnant women was seen growing up, and they more likely to choose hospitals in county level and above, while less and less people chose village health centers. Conclusion The recognition of health care in pregnant women is improving, and their health requirement is also raising. It is necessary to strengthen the health care work, build capacity of health care for pregnant women in county and village health center and improve the health education in rural pregnant women so as to improve the health care status in pregnant women.