孕妇对产前检查的依从性及其影响因素的调查分析

目的调查孕妇对产前检查的依从性及其影响因素，为提高孕妇产前检查的依从性提供思路和方法。方法采用自拟问卷，对广州市某三级甲等医院妇产科住院孕产妇共100例进行现场问卷调查，了解孕妇对产前检查的依从性及影响产前检查依从性的因素，并对结果进行分析。结果68．4％的孕妇产检次数未达标，平均次数为5次。年龄≤30岁和年龄〉30岁的孕妇产检次数未达标率分别为70．4％、65．9％，二者比较差异无统计学意义，P〉0．05。学龄≤9年和学龄〉9年的孕妇产检次数未达标率分别为83.3％和50．0％，不定期做产检率分别为59．3％和29．5％，差异均有统计学意义，P〈0．01。本地人口比流动人口产检次数的达标率要高，二者比较差异有统计学意义，P〈0．01。家庭收入〉3000元／月比家庭收入≤3000元／月的孕妇对产检的依从性好，P〈0．05。70％以上的孕妇认为有无妊娠危险因素、丈夫是否支持、当地医疗条件以及医务人员服务态度这4个因素对自己是否去做产检有影响。结论产前检查在低学历、流动人VI和家庭收入低的孕妇群体中依从性较差。针对影响产检的因素，如何提高这类孕妇的产检依从性值得进一步研究。

The compliance and impact factors of prenatal check for pregnant women

Objective Through the investigation of the compliance and impact factors of prenatal check to the pregnant women ,we aimed to supply the ideas and methods to improve antenatal care compliance. Methods This investigation used the questionnaire which was designed by the author to survey 100 pregnant women in class three level hospital in Guangzhou. The results underwent subsequent analysis. Results There were 68.4% of the pregnant women didn＇t finish the check. The average check times was only five. 70.4% of them who were younger than 30 hadn＇t fulfilled seizure frequency rates,while 65.9% for who were older than 30（P 〉 0.05）. The pregnant women with school-age ≤9 and school-age 〉 9 who hadn＇t fulfilled seizure frequency rates were 83.3% and 50.0%.Irregular check rates were 59.3%,29.5% （P 〈0.01 ）. The floating population and the local population in the area of prenatal compliance results showed statistical difference, P 〈0.01. The family whose income was higher than 3000 yuan per-month were better than those lower than 3000 yuan per-month about the antenatal check compliance （P 〈 0.05 ）. More than 70% of pregnant women felt risk factors of pregnancy complications,their partners＇ support, local medical conditions and attitudes of medical staff had influence of their antenatal check compliance. Conclusions The compliance of the low education and low family income group is relatively low. For the affecting factors, how to improve the prenatal check compliance of such crowd is worthy of further study.