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目的了解泰州市城区社区孕产妇保健管理现状,为更好地实施基本公共卫生服务提供依据。方法调查分析2013年10月-2014年9月海陵区各街道社区卫生服务中心上报的3 730例孕产妇保健情况,同时对机构的服务情况进行调查。结果超过85%的城区孕产妇选择在二、三级医院进行孕期保健,城市和农村孕产妇在早孕建卡、孕期检查次数、产前筛查和诊断、孕期接受健康教育、高危妊娠发生率、低出生体重和早产发生率等各项指标均存在统计学差异。社区服务能力和服务量都不足。结论基层社区的服务能力不能满足孕产妇的保健需求,必须要探索适宜的服务模式落实基本公共卫生服务。
Objective To understand the status quo of maternal health management in urban community in Taizhou and provide evidence for better implementation of basic public health services. Methods A total of 3 730 cases of maternal health reported by community health service centers in various streets of Hailing from October 2013 to September 2014 were investigated and analyzed. At the same time, the service conditions of the institutions were investigated. Results More than 85% of pregnant women in urban areas chose to take care of their pregnant women in second and third hospitals, pregnant women in urban and rural areas during their first trimester, the number of pregnancy tests, prenatal screening and diagnosis, health education during pregnancy, the incidence of high-risk pregnancies, Low birth weight and the incidence of preterm birth and other indicators are statistically different. Community service capacity and service volume are not enough. Conclusion The service ability of grass-roots community can not meet the maternal health needs, we must explore the appropriate service model to implement basic public health services.