“全面二孩”政策后二孩产妇孕前健康检查现状分析

目的:了解"全面二孩"计划生育政策后,生育二孩妇女的孕前健康检查现状及影响因素。方法:应用自行设计的孕前健康检查问卷,对甘肃省张掖市两家医院住院分娩二孩的经产妇进行回顾性调查。结果:经产妇孕前健康检查比率39.2%(89/227)。多因素logistic回归分析显示居住地为城市(OR=2.61,95%CI=1.16~5.85)、家庭年收入10万(OR=2.64,95%CI=1.22~5.71)、丈夫文化程度为高中/中专(OR=1.60,95%CI=0.61~4.16)、一孩接受过孕前健康检查(OR=11.07,95%CI=5.43~33.56)的经产妇参加孕前健康检查比率较高;二孩为意外妊娠的产妇孕前健康检查比率较低(OR=0.37,95%CI=0.17~0.80)。结论:生育二孩的产妇孕前健康检查率较低,各级医疗机构应加强计划生育和孕前健康检查的宣传教育,提高拟生育二孩夫妇计划妊娠率和接受孕前健康检查的依从性。

The current situation analysis of physical examination for wowen before pregnancy who wanted the second child after comprehensive two-child policy

Objective:To know the current physical examination situation of multiparas before pregnancy who wanted the second child after the comprehensive two-child policy,and to analyze its influential factors.Methods:227 multiparas who came to hospital for birthing the second child from two hospitals of Zhangye city in Gansu Province were investigated by self designed questionnaire.Results:The rate of physical examination before pregnancy of these women was 39.2(89/227).Multiariable logistic regression analysis showed that multiparas whom live in the city (OR 2.61,95 ％ CI 1.16-5.85),whose family income over 100000 yuan (OR 2.64,95％CI 1.22-5.71),the education level of their husbands at senior high school (OR 1.60,95％ CI 0.61-4.16),and who had accepted physical examination before the first pregnancy(OR 11.44,95 ％ CI 5.43-33.56)had higher rate of physical examination before the second pregnancy.But the multiparas with unwanted pregnancy had lower rate of physical examination before the second pregnancy (OR 0.37,95 ％ CI 0.17-0.80).Conclusion:This study shows that the rate of multiparas accepting physical examination before the second pregnancy is low.In order to increasing the ratio of wanted pregnancy and improving the acceptance of physical examination before pregnancy,different level of medical serves institutions should all strengthen publicity and education of family planning and physical examination before pregnancy.