【摘要】 通过产前保健的三个方面（产前宣传教育；筛查、确定具有危险因素的孕妇；孕期服务），从服务角度出发，了解湖南省农村地区产前保健状况。分析可知，湖南农村育龄妇女接受产前检查的比例很低，仅为４３．６％；医务人员对高危孕妇的鉴别只停留在对孕妇外在特征的观察，一些高危指征容易被忽略，减少了对高危孕妇进行产前检查的建议，降低了产前保健能力；育龄妇女在村里进行产前检查的比例很低，仅为１３．３％（包括在家中）；计生部门的产前保健意识薄弱，大部分产前保健工作由卫生部门来完成（７４．２％）；宣传教育对获得产前保健知识、对产前保健行为有重要的影响。接受了宣传教育的育龄妇女知道孕期接触烟酒，化肥农药对胎儿有害的比例明显高于未接受教育者，接受了宣传教育的育龄妇女避免接触有害因素，进行产前检查的比例明显高于未接受教育者，但农村地区产前宣传教育工作极为薄弱。为此，作者提出了系列建议。更多还原

【Abstract】 This report examines the prenatal health care (PHC) in rural Hunan, focusing on prenatal education, identification of the pregnant women at risk and prenatal care. A low proportion (43. 6% ) of the rural reproductive age women in Hunan received prenatal examination, and most of the PHC work (74. 2%) was conducted by the health departments, showing a weak sense of PHC on the part of the family planning departments. While prenatal education in rural Hunan is relatively weak, it has indeed significantly influenced women’s knowledge and behavior of PHC更多还原