Abstract:Objective To understand the status quo of pre-pregnancy health care services in maternal and child health institutions in Chongqing. Methods A questionnaire survey was conducted among the participants of the 2021 Chongqing pre-pregnancy health training course. The contents mainly include: personal information, the status quo of pre-pregnancy inspection in maternal and child health institutions in various districts and counties, and the knowledge of pre-pregnancy. According to the principles of economic development, road traffic conditions, resource and environment carrying capacity, close level of development and geographical location, 38 administrative districts and counties in Chongqing were divided into main urban area group and non-main urban areas group. The status quo of pre-pregnancy examination and knowledge of pre-pregnancy were compared between the two groups. Results A total of 109 questionnaires were sent out, and 101 were effectively collected, with an effective recovery rate of 92.66%. All hospitals carried out free pre-pregnancy eugenic check-ups, but the return rate of at-risk groups was low. There were statistically significant differences between the two groups in the rate of return visits, follow-up forms and the proportion of multimedia publicity among pre-pregnancy specialist clinics, psychological assessment, free pre-pregnancy risk groups in the same hospital(P<0.05). The total score of related knowledge before pregnancy and the score of part B in the main urban area group were higher than those in the non-main urban area group, and the differences were statistically significant (P<0.05). Conclusion The pre-pregnancy health care service capacity of Chongqing district and county maternal and child health institutions needs to be further improved.
顾华妍 王鉴▲ 张海燕 王薇 何丹. 重庆市区县级妇幼保健机构孕前保健服务现状调查[J]. 中国医药导报, 2023, 20(33): 88-91.
GU Huayan WANG Jian▲ ZHANG Haiyan WANG Wei HE Dan. Survey on situation of preconception health care services in maternal and child health care institutions at district and county levels in Chongqing. 中国医药导报, 2023, 20(33): 88-91.
[1] 刘民.孕前优生检查:生育健康的第一道防线[J].中华生殖与避孕杂志,2023(1):19-22. [2] Meertien K,Sabine F,Lieke C,et al. The effect of a preconception care outreach strategy: the Healthy Pregnancy 4 All study [J]. BMC Health Ser Res,2019(19):60. [3] 董艳玲,漆洪波.ACOG“孕前咨询(2019)”解读[J].中国实用妇科与产科杂志,2020,36(2):145-149. [4] 戴宝贞,李红霞,郝艳枝,等.内蒙古自治区国家免费孕前优生健康检查项目实验室室间质评情况及质量管理现状分析[J].中国计划生育学杂志,2020,28(10):1543- 1547. [5] 李孟兰,林宁,刘帅妹,等.江苏省国家免费孕前优生项目实验室现场质量督查结果分析[J].中国计划生育学杂志,2022,30(7):1480-1483. [6] 刘培,刘蓓,张桂贤.免费孕前优生健康检查服务质量综合评价[J].中国妇幼保健,2022,35(16):1332-1333. [7] 叶汉风.源头促进人口健康储备公卫服务助力健康扶贫———国家免费孕前优生健康检查项目十年实践[J]. 中国妇幼保健,2020,28(9):2936-2939. [8] 陈敦金,谭虎.建立孕产妇“全孕期”管理体系降低不良妊娠结局[J].中国实用妇科与产科杂志,2020,36(5):385- 388. [9] 全国妇幼健康研究会.孕前优生健康检查风险评估指导手册2014版[M].北京:人民卫生出版社,2014:106-109. [10] 张海燕,顾华妍,任钧,等.“互联网+”平台联合孕前ACI模式在备孕人群健康管理中的应用[J].实用妇产科杂志,2021,37(7):541-544. [11] 朱细平.孕前健康体检的现状分析及孕前保健的模式探讨[J]当代医学,2022,28(21):36-38. [12] 商伟静,张世琨,李园园,等.孕前保健关键技术的国内外研究进展[J].中国妇幼健康研究,2022,33(12):1-5. [13] 吴芸.孕前咨询与孕前保健的研究进展[J].继续医学教育,2020,34(3):92-94. [14] 王薇,黄婵,顾华妍,等.围孕期空腹血糖对妊娠期糖尿病发生的预测作用及其与不良妊娠结局的关系[J].实用妇产科杂志,2023,39(2):142-146. [15] 吴凯佳,张永欣,张国华,等.体重指数对单胎足月初产妇分娩结局的影响[J].中国实用妇科与产科杂志,2023,39(1):107-110. [16] Briony H,Mathew L,Gita M, et al. Lifestyle and Psychological Factors Associated with Pregnancy Intentions:Findings from a Longitudinal Cohort Study of Australian Women[J]. Int J Environ Res Public Health,2019,16,5094. [17] 赵人行,赵景林,苗艳青.“互联网+”视角下我国东中西部健康管理发展案例研究[J].中国公共卫生管理,2022, 38(3):320-324. [18] 周利娜,汪雅琴.分析系统化孕前保健方法对孕前备孕妇女营养及体重指数的影响[J].中国社区医师,2022, 38(15):162-164. [19] 刘晖,曾苑珍,李理花,等.国家免费孕前优生健康检查随访服务模式探讨[J].深圳中西医结合杂志,2016,26(10):190-191. [20] 范生荣,沈恋迪,张丽峰,等.妇女再生育孕前保健服务利用意愿的影响因素分析[J].上海预防医学,2022,34(6):577-582. [21] 卜方,徐辉,梁霁,等.“全面二孩”政策下上海市长宁区孕产妇保健及管理动态解析[J].中国临床保健杂志,2020, 23(2):230-232. [22] 卢旭梅,杨洁茹.诸暨城区育龄妇女孕前优生健康检查利用情况及影响因素分析[J].中国公共卫生管理,2022, 38(3):349-353. [23] 林美娟,钱晓忠,陈雄,等.社区孕前保健网底建设探索研究[J].中国全科医学,2020,23(5):580-592. [24] Hafez IM,Sabine FV,Wim P,et al. Barriers in the Uptake and Delivery of Preconception Care:Exploring the Views of Care Providers [J]. Matern Child Health J,2017,21:21-28. [25] 王涛,袁彦玲,赵子高,等.从服务人群视角评价云南省国家免费孕前优生健康检查项目效果[J].中国计划生育学杂志,2018,26(5):353-356. [26] 丁雪,赵君,陈永超,等.我国部分地区优化婚前孕前保健服务实践分析[J].中国初级卫生保健,2022,36(2):5-8. [27] 何美情,高燕华.微信网络平台在基层超声医生继续教育中的应用价值[J].中国继续医学教育,2021,13(27):73-76. [28] 路冬梅,何玉兰,周自琴,等.医联体内模式下的继续教育对提升基层医师临床能力的作用[J].广西医学,2021, 43(12):1522-1524. [29] 孙卓林,李娜玲.我国建立分级诊疗体系的SWOT分析[J].重庆医学,2018,47(3):416-422.