【摘要】 目的:了解流动孕产妇与户籍孕产妇产前保健服务的利用情况,发现两人群的差异,探讨影响因素并为制定干预措施提供依据。方法:采用对比研究,在广州、浙江、福建、北京对379名流动孕产妇和381名户籍孕产妇进行问卷调查,了解其社会人口学因素及产前保健利用情况,包括初检孕周、产检次数及早、中、晚孕期的产检项目等。结果:流动与户籍孕产妇孕早期初检率分别为40.5%和57.1%,产检5次及以上的比率分别为60.4%和80.6%;流动孕产妇孕早、中期各基本项目检查率低于户籍孕产妇,孕晚期差异不大。流动人口、文化程度低、经济收入低、未婚或离异、无保险、经产妇、计划外生育、怀孕后无人通知产检等会影响孕产妇的产检利用情况。结论:城市中流动孕产妇产前保健服务的利用情况与户籍孕产妇相比存在较大差异,孕产妇保健应注重提供普惠性的服务项目及加大服务宣教力度。更多还原

【Abstract】 Objective:To understand the utilization situations of prenatal health care among the migrant and resident pregnant women,find the differences between them,explore the effect factors,and provide a basis for making interventional measures.Methods:A comparative study was adopted to conduct questionnaire survey among 379 migrant pregnant women and 381 resident pregnant women in Guangzhou city,Zhejiang province,Fujian province,and Beijing city,their social and demographic factors,utilization situations of prenatal health care were analyzed,including the gestational weeks of initiate prenatal examination,the times of prenatal examination,the examination items during the first,the second,and the third trimester of pregnancy.Results:The rates of initiate prenatal examination among the migrant and resident pregnant women were 40.5% and 57.1%,respectively;the proportions of migrant and resident pregnant women undergoing prenatal examination for five or more than five times were 60.4% and 80.6%,respectively;the examination rates of various basic items among the migrant pregnant women during the first and second trimester of pregnancy were lower then those among the resident pregnant women,but there was no significant difference during the third trimester of pregnancy.The effect factors of utilization of prenatal examination among the pregnant women included floating population,low educational level,low economic income,spinsterhood or divorce,without insurance,multiparous women,unplanned birth,and without the knowledge of prenatal examination after pregnancy.Conclusion:There is significant difference in the utilization situations of prenatal health care between migrant pregnant women and resident pregnant women in urban area,more attention should be paid to the universal service projects and the propaganda and education of prenatal health care service should be enhanced.更多还原