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上海市社区孕情监测工作的实施与成效
引用本文:董晓超,秦敏,谭晶,朱丽萍. 上海市社区孕情监测工作的实施与成效[J]. 中国妇幼保健, 2010, 25(29)
作者姓名:董晓超  秦敏  谭晶  朱丽萍
作者单位:上海市妇女保健所,同济大学附属第一妇婴保健院,上海,200040
基金项目:市级医院适宜技术联合开发推广应用项目
摘    要:目的:加强社区孕情监测力度,提高孕期保健管理质量。方法:在上海市各区(县)试点社区建立孕情监测网络,通过比较孕情监测工作实施前后(2008年4~9月与2009年4~9月)的社区孕期管理指标评估该工作的成效。结果:孕情监测工作试点实施后,孕妇建册数增加了26.2%,早孕建册率从39.4%提高到43.9%(P0.01),建册时间提早(P0.01);中心城区孕妇早孕建册率(57.2%)高于周边城区(34.9%)(P0.01),建册时间早于周边城区(P0.01);孕情监测人力资源分布在中心城区和周边城区之间存在较大差异;受监测孕妇早孕建册率(47.1%)高于未受监测孕妇(31.3%)(P0.01),建册时间早于未受监测孕妇(P0.01),且孕妇越早受到监测其建册时间也越早。结论:孕情监测工作促进了社区孕情管理由被动等待向主动发现的转变,提高了孕期保健服务的可及性与公平性。

关 键 词:孕情监测  社区  孕期保健  管理

Implementation and effect of community - based monitoring of pregnancy in Shanghai
DONG Xiao-Chao,QIN Min,TAN Jing et al. Implementation and effect of community - based monitoring of pregnancy in Shanghai[J]. Maternal and Child Health Care of China, 2010, 25(29)
Authors:DONG Xiao-Chao  QIN Min  TAN Jing et al
Affiliation:DONG Xiao-Chao,QIN Min,TAN Jing et al.Shanghai Women's Health Institute,the First Maternity and Infant Health Hospital Affiliated to Tongji University,Shanghai 200040,China
Abstract:Objective:To enhance community-based monitoring of pregnancy,and improve the quality of healthcare and management during pregnancy.Methods:A community-based monitoring network of pregnancy was built in some pilot study areas in every administrative district in Shanghai.The effect of pregnancy monitoring was evaluated by pre-post data comparison (from April to September in 2008 vs from April to September in 2009).Results:After the implementation of pregnancy monitoring in pilot study areas,the pregnant women...
Keywords:Monitoring of pregnancy  Community  Health care during pregnancy  Management  
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