【摘要】 目的:调查上海户籍与非上海户籍孕妇围产保健方面存在的差距,分析流动人口平产分娩点对改善外来孕妇围产期保健状况、减少不良妊娠结局发生的作用。方法:回顾分析2004年7月至2005年6月在复旦大学附属上海第五人民医院浦江分院流动人口平产分娩点及上海市第五人民医院产科住院分娩的5528例孕妇。分为分娩点非上海户籍、五院非上海户籍和五院上海户籍3组。结果:分娩点外来孕妇产前检查覆盖率为92.98%,仅次于综合医院沪籍孕妇,但产检4次以上的比例不足1/3,与其他两组差异显著。分娩点调查对象的妊娠结局普遍好于综合医院的外来孕妇,剖宫产率仅为21.10%,明显低于其他两组。两组外来孕妇中,不良妊娠结局的发生随产检次数的增加而减少,来自分娩点孕妇的低体重儿、过期产的发生并未因产检次数增加而得以抑制。结论:通过普及产前检查,流动人口平产分娩点在改善外来孕产妇妊娠结局方面有成效。但外来孕产妇仍缺乏足够的围产保健,应进一步加强系统产前检查和提高质量,切实改善外来流动人口的母婴保健状况。更多还原

【Abstract】 Objective:Implementation of special obstetrical health care service for internal migrants improved both maternal and neonatal health of the population.This controlled trail was assumed to find out the system’s benefit and current condition of internal migrants’ paranatal health care.Methods:Data relative to prenatal care and pregnancy outcome were collected from medical histories of 5528 pregnant women admitted by two hospitals from July 2004 to June 2005.Objects were divided into three groups (group1:pregnant internal migrants admitted by Pujiang Branch of Shanghai Fifith Peopls’s Hospital;group 2:pregnant internal migrants admitted by Shanghai Fifth People’s Hospital;group 3:pregnant local women admitted by Shanghai Fith People’s Hospital).Results:Compared with group 2,more objects from group 1 (92.98%) had prenatal care services.However,merely 32.10% objects in group 1 had prenatal care ≥4 times,which was significantly lower than those of the other two groups.Pregnancy outcomes of group1 were generally better than group 2. Cesarean-Section was most effectively controlled in group 1,of which the rate was 21.10%.Majority of the adverse pregnancy outcomes of group1 and group 2 were alleviated in respect of rising prenatal care frequency.Low birth weight and post-term delivery were statistically irrelative to prenatal care frequency in group 1.Conclusion:Prenatal care services play positive roles in modifying pregnancy outcomes of internal migrants,though this population are still in need of more services.Efforts should be applied to further increase the quality of prenatal care events更多还原