妇女孕产期保健服务利用状况及影响因素调查

目的探讨妇女孕产期保健服务的利用状况，对其影响因素进行分析和调查。方法选取2014年3月在我市工作的流动人口育龄妇女为研究对象，其中470人有分娩经历。对这些妇女的产前检查、产后访视服务的利用状况及其影响因素进行分析。结果470例流动人口育龄妇女做过产前检查的共有356例．产前检查率为75．74％；得到产后访视的妇女有342例，产后访视率为72．77％。大专及以上文化程度的妇女产前检查次数为8．72±3．19，产后访视次数为1．12±1．25，明显高于初、高中文化程度妇女的5．86±3．23、0．65±1．12和小学以下文化程度妇女的3．70±2．69、0．29±0．68．差异均具有统计学意义（P＜0．05）。家庭月收入4ooo元以上的妇女产前检查次数为7．78±3．64．产后访视次数为0．98±1．26，明显高于家庭月收入2ooo～3999元妇女的6．22±3．14、0．71±1．23和家庭月收入2000元以下妇女的4．98±3．06、0．49±0．97，差异均具有统计学意义（P＜0．05）。结论文化程度、家庭收入、年龄和是否参加生育保险是影响妇女孕产期保健服务利用状况的重要因素．应加强针对流动人口育龄妇女的孕产期保健管理力度，开展孕产期健康教育，充分发挥计生网络的作用，努力改善流动妇女的孕产期保健状况。

Utilization and Related Factors of Pregnant Health Care Services for Women

Objective To investigate the utilization and related factors of maternal health care services for women. Methods Migrant women of child-bearing age worked in our city in March 2014 were selected as objects, among which 470 cases had child-birth experience. The utilization and related factors of prenatal examination and postpartum visit service of these women were analyzed. Results 356 cases of migrant women of child-bearing age did prenatal examination, the rate was 75.74%; 342 cases of women received postpartum visit, the rate was 72.77%. The number of prenatal examination of women with a college and higher education was 8.72 ±3.19 and the number of postpartum visit of these women was 1.12±1.25, significantly higher than 5.86±3.23 and 0.65 ±1.12 of women with a primary school education and 3.70 ±2.69 and 0.29± 0.68 of women with a high school education, the differences were statistically significant （P 〈0.05）. The number of prenatal examination of women whose family income per month was more than 4 000 Yuan was 7.78±3.64, and the number of postpartum visit of these women was 0.98 ±1.26, significantly higher than 6.22±3.14 and 0.71±1.23 of women whose household income per month was from 2 000 to 3 999 Yuan and 4.98 ± 3.06 and 0.49 ± 0.97 of these women whose family income per month was less than 2 000 Yuan, the differences were statistically significant （P〈0.05）. Conclusions The education level, household income, age, whether to participate in maternity insurance were important factors affecting the utilization of maternal health care services for women, the management of maternal health care for migrant women of child-bearing age should be strengthened. We also should conduct maternal health education, make full use of family planning network, try hard to improve the maternal health situation of migrant women.