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目的:探讨云和县流动孕产妇保健管理现状及效果,并探讨影响保健管理工作的相关因素,为完善保健管理工作提供参考。方法:对云和县2011年~2013年流动孕产妇保健管理现状进行统计,并分析保健管理结局,对所有孕产妇是否参加保健管理影响因素进行回顾性分析。结果:云和县2011~2013年流动孕产妇人数相对平稳,建册率、产检率、探访率、系统管理率平均为77.83%、83.02%、84.83%、73.82%,逐年上升,近3年围产儿死亡率逐年下降,孕产妇连续3年无死亡;≥40岁孕产妇、高中以下低文化水平孕产妇、无计划生育管理协议、无婚育证明孕产妇更难实施流动人口保健管理,初次孕产妇、已婚孕产妇更易实施流动人口保健管理,以上因素对比差异均有统计学意义(P均<0.05)。结论:云和县流动孕产妇保健管理质量逐年提升,未婚、教育程度低等是影响保健管理实施的相关因素。
Objective: To explore the current situation and effect of maternal health management in Yunhe County and to explore the related factors that affect the management of health care, so as to provide reference for the improvement of health management. Methods: The status of maternal health management in Yunhe County from 2011 to 2013 was analyzed, and the outcomes of health management were analyzed. Retrospective analysis was conducted on the influencing factors of whether all pregnant women participated in health management. Results: The number of mobile pregnant women in Yunhe County was relatively stable from 2011 to 2013. The average rate of establishment, rate of birth check, visit rate and system management rate was 77.83%, 83.02%, 84.83% and 73.82%, respectively, year by year and nearly three years Maternal mortality rate decreased year by year, maternal death for 3 consecutive years; ≥ 40-year-old pregnant women, high school below the low level of maternal health, no family planning management agreement, maternity and more pregnant women to prove that it is more difficult to implement the management of floating population health care, Maternal and married pregnant women were more likely to implement the health management of floating population. The differences of the above factors were statistically significant (all P <0.05). Conclusion: The quality of maternal health management in Yunhe County rises year by year. The unmarried and low education levels are the related factors that affect the implementation of health management.