西藏农村妇女孕产期保健现状及影响因素

目的 了解西藏自治区项目地区农村妇女孕产期保健现状.方法 采用人口比例(PPS)抽样法,自行设计调查问卷,对4个地区15个项目县72个乡镇的1513名3岁以下儿童母亲进行面对面问卷调查.结果 西藏项目地区妇女接受产前检查率为83.7%,平均检查次数为3.55次.仅有23.5%的妇女做过≥5次的产前检查,孕早期检查的妇女占14.5%,产后访视妇女占71.2%.49.8%的妇女在乡镇卫生院进行产前检查,39.6%在县及以上医院进行产前检查,2.6%在村卫生室接受产前检查.做过产前检查的妇女中有93.8%的人接受过孕期保健宣传知识和住院分娩动员.多因素分析显示,丈夫受教育程度、家庭副业收入、住院分娩动员、孕期保健宣传与产前检查呈显著相关.结论 西藏自治区孕产期保健有了很大改善,但还需进一步提高妇女孕产期保健质量.

Study on influence factors of maternal health care in Tibet Autonomous Region of China

Objective To investigate the status of maternal health in Tibet and to analyse the influence factors.Methods In 4 regions,15 project counties and 70 townships of Tibet,PPS was used to select study population and face to face in terview was carried out in 1513 mothers who had child renunder 3 years old.Results 83.7% of the pregnant women received at least one antenatal checkup with an average of 3.55 times and the rate of antenatal checkup over 5 times was 23.5%.14.5% of the pregnant women received antenatal checkup before 12 weeks of the pregnancy.71.2% of them were visited by doctors after the delivery.Among the women who had antennal checkup during the pregnancy,49.8% received the checkups in township hospitals,39.6% in county hospitals and 2.6% in village clinic.93.8% of the pregnant women received health education during their pregnancy.Further analys is showed that the number of antenatal checkup in women who had received the health education was 9.54 times of that in women who had not received the health education.Conclusion The maternal health cares in Tibe thas been improved,but still face the challenges.