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目的了解深圳市流动人口孕产妇住院分娩的影响因素,探索提高流动人口孕产妇住院分娩率的有效社区卫生服务干预措施。方法对深圳市宝安区沙井街道2个居委会的流动人口孕产妇采取社区卫生服务干预措施,并在措施前后进行2次回顾性问卷调查,收集相关报表资料进行统计学分析。结果通过实施流动人口孕产妇社区卫生服务干预措施,使流动人口孕产妇住院分娩率由干预前的32.3%上升至干预后的98.5%,有效地提高了流动人口孕产妇的住院分娩率。结论强化各级政府在妇幼保健中的责任;加强社区妇幼保健医生的人员配置和工作职责,完善三级妇幼保健网络网底建设;加强流动人口孕产妇的管理,采取有效的社区干预措施;对提高流动人口孕产妇的住院分娩率意义重大。
Objective To understand the influencing factors of hospitalized delivery of pregnant women in floating population in Shenzhen and to explore effective community health service interventions to improve the hospital delivery rate of pregnant women in floating population. Methods Community health service interventions were carried out for 2 floating population pregnant women in Shajing Street, Bao’an District, Shenzhen. Two retrospective questionnaires were conducted before and after the measures were taken to collect the relevant statements for statistical analysis. Results Through the intervention of community health service for migrant women and mothers, the hospital delivery rate of pregnant women in floating population increased from 32.3% before intervention to 98.5% after intervention, which effectively increased hospital delivery rate of pregnant women in floating population. Conclusion Strengthen the responsibility of all levels of government in MCH; strengthen the staffing and job responsibilities of MCH doctors in the community, improve the network construction of MCH network; strengthen the management of pregnant women and mothers and take effective community intervention measures; Increasing the rate of hospital delivery among pregnant women in floating population is of great significance.