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目的:了解孕妇建册状况,提升围产期保健质量,保障母婴安全。方法:在建立《孕产妇保健手册》时对570例建册孕妇逐一询问,填写统一的调查表。结果:计划妊娠者占11.93%,非计划妊娠者占88.07%;早孕建册者占48.51%。未早孕建册者中,在外地打工者占36.05%,自认为不需要建册的占10.20%。在建册时发现的高危因素中,妊娠合并症、高龄妊娠、人工流产≥2次居前3位。结论:射阳县非计划妊娠比例高,流动人口早孕建册率低。应重视孕前保健,选择最佳生育年龄,提倡有计划妊娠,提高早孕建册率。
OBJECTIVE: To understand the status of pregnant women, improve the quality of perinatal care, and ensure the safety of mother and child. Methods: In the establishment of “maternal health handbook” 570 cases of pregnant women were asked one by one to fill in a unified questionnaire. Results: The planned pregnancy accounted for 11.93%, unplanned pregnancy accounted for 88.07%; early pregnancy register accounted for 48.51%. Among those who failed to get pregnant in early pregnancy, 36.05% were migrant workers in the field and 10.20% thought they did not need to build a book. Among the risk factors discovered at the time of registering, pregnancy complications, advanced pregnancy and induced abortion ≥2 were among the top three. Conclusion: Sheyang County has a high proportion of unplanned pregnancies and low rate of early pregnancy enrollment among floating population. Should pay attention to pre-pregnancy health care, choose the best childbearing age, promote planned pregnancy and improve early pregnancy rate.