目的:了解重庆市出生缺陷病残儿父母再生育情况。方法:对2003～2008年经重庆市病残儿童医学鉴定,符合再生育的出生缺陷病残儿父母进行问卷调查,由调查员填写调查表。结果:1 002例出生缺陷病残儿童父母中,982例父母得到再生育指导,有93.31%进行了孕前咨询;有809例生育二胎,其中有9胎患病;有81.04%已生育二胎家庭进行了产前检查,产前检查地点主要在县级医疗机构(53.69%),其次为乡镇卫生院(31.50%),市级医疗机构(14.78%);有93.15%再生育孕妇住院分娩,6.80%在家分娩;计生办对92.31%的再生育家庭建立了监测档案。结论:再生育指导、孕前咨询、产前检查不合理、不规范,建卡的优生优育跟踪监测还没有完全覆盖,应尽快建立科学、合理、规范的再生育优生技术管理服务体系。 Objective: To understand the reproductive status of parents of disabled children with birth defects in Chongqing. Methods: A questionnaire survey was conducted on the parents of sick and disabled children with medical disabilities identified from Chongqing in 2003 and 2008 who were eligible for childbirth. The survey respondents completed the questionnaire. Results: Of the 1 002 cases of parents with disabled children with disabilities, 982 were given rebirth guidance and 93.31% were counseled before pregnancy; 809 had second childbirth, of which 9 were ill; 81.04% had second childbirth The families conducted prenatal examinations. The locations of prenatal examinations were mainly in county-level medical institutions (53.69%), followed by township hospitals (31.50%) and municipal-level medical institutions (14.78%). There were 93.15% 6.80% delivered at home; family planning office set up monitoring files on 92.31% of re-fertile families. Conclusion: Reproductive guidance, pre-pregnancy counseling, prenatal check-up are irrational and non-standard. The follow-up monitoring of eugenics and birth control has not yet been fully covered. A scientific, rational and standardized management system for reborn eugenics should be established as soon as possible.