1993-2003年中国妇女孕产期保健服务利用状况研究

目的描述1993--2003年我国妇女产前、产时和产后保健利用状况及探索可能的原因。方法利用1993、1998和2003年3次国家卫生服务调查资料进行分析。结果在1993--2003年间，城乡孕早期检查率和住院分娩率分别从9．9％和37．6％上升到58．1％和73.3％；城乡产前检查次数符合率分别从47.3％和11．4％上升到57．6％和36．6％：产后访视率农村从36．7％上升到42．2％，而城市的则从44．0％下降到39．7％；未住院分娩的前三位原因分别是认为没必要、经济困难和急产；农村在家分娩妇女由专业人员接生的比例从67．5％下降到51．4％。结论 过去的10年我国孕产期保健服务利用有较大提高．但产前、产时和产后3个阶段保健利用发展不平衡，尤其是产后保健利用水平提高缓慢以及农村在家分娩妇女由专业人员接生比例下降的现象应引起关注。

Study on Maternal Health Service Utilization in China from 1993 to 2003

OBJECTIVES To describe the trend of maternal care utilization in China from 1993 to 2003 and explore its possible determinants. METHODS The data of national health services survey in 1993, 1998 and 2003 were used in the analysis. RESULTS In past decade, the proportion of first prenatal visit before 13 weeks of gestation age hospital delivery rate in urban and rural area increased from 19.9%, 37.6% to 58.1% and 73.7% respectively; The proportion of frequency of prenatal care visit meeting MOH standard rose from 47.3% in urban area and 11.4% in rural area to 57.6% and 36.6% respectively ; The proportion of postnatal visit in rural area was up from 36.7% to 42.2% , but the proportion in urban area fell from 44.0% to 39.7%; The feeling hospital delivery not necessary, financial reason and emergency delivery were ranked for the first three most important factors influencing the hospital delivery rate; The proportion of home delivery attended by trained staff decreased from 67.5% in 1993 to 51.4% in 2003. CONCLUSIONS The maternal care utilizations has been considerably improved in past decade, but the improvement at prenatal, delivery and postnatal care was not at same step.That improvement of the postnatal care and use of trained attendant during home delivery relatively lagged behind needs to be concerned.