目的了解广德县孕产妇早孕期保健服务现状,掌握早孕期产前检查和建卡的影响因素,为提高早孕期保健服务覆盖率提供决策参考。方法采用分层整群抽样方法,从10个乡镇/社区各随机抽取1个行政村/街道,对其2012年10月1日~2013年9月30日期间分娩的全部产妇进行问卷调查,了解早孕期保健情况。结果在350人调查对象中,在早孕期不知道怀孕的有23人(6.6%),根据症状知道自己怀孕的有18人(5.1%),通过自己检测发现怀孕的有113人(32.3%),在医疗保健机构检测发现怀孕的有196人(56.0%)。早孕期做了产前检查的有288人(82.3%),未做产前检查的主要原因是不知道要产前检查(34.9%)和居住外地(22.9%)。在医疗保健机构检测发现怀孕的196人中,早孕期产前检查率为89.8%,该辖区保健机构发现早孕时提供产前检查的比例高于其他机构(P<0.001)。多因素Logistic回归分析发现早孕期居住外县、计划外怀孕是早孕期产前检查的危险因素,家庭年人均收入高是保护性因素。早孕建卡的有161人(46.0%),未建卡的主要原因是不知道需要建卡(35.7%)和居住外地(24.8%)。在医疗保健机构检测发现怀孕的196人中,建卡率为55.1%。在该辖区保健机构诊断怀孕的孕妇早孕建卡率高于该辖区其他机构和外地机构(P<0.001)。多因素Logistic回归分析发现,早孕期居住外县和计划外怀孕是早孕建卡的危险因素,产次多是早孕建卡的保护因素。结论广德县孕产妇早孕期产前检查率显著高于建卡率,实际孕产妇系统管理率高于报告数;未做早孕期产前检查和建卡的主要原因分别是不知道和居住外地;保健机构早孕期产前检查率和建卡率均显著高于其他医疗机构。 Objective To understand the status quo of pregnant women in early pregnancy in Guangde County and to understand the influencing factors of prenatal examination and card construction in early pregnancy and to provide reference for improving the service coverage in early pregnancy. Methods A stratified cluster sampling method was used to randomly select one administrative village / street from 10 townships / communities and conduct a questionnaire survey on all mothers who gave birth between October 1, 2012 and September 30, 2013 Early pregnancy health conditions. Results Of the 350 respondents, 23 (6.6%) were unaware of pregnancy in the first trimester, 18 (5.1%) were aware of their pregnancy on the basis of symptoms, and 113 (32.3%) were diagnosed on their own 196 were found to be pregnant (56.0%) at health-care facilities. There were 288 prenatal tests (82.3%) in early pregnancy. The main reasons for not having prenatal examination were not knowing about prenatal examination (34.9%) and living abroad (22.9%). Among the 196 pregnant women detected by health care institutions, the rate of prenatal examination in early pregnancy was 89.8%. The local health care agencies found that the proportion of antenatal examination provided by early pregnancy was higher than that of other institutions (P <0.001). Multivariate Logistic regression analysis found that in the first trimester of pregnancy, unplanned pregnancy was the risk factor for prenatal examination in early pregnancy, and high per capita income was a protective factor. There were 161 (46.0%) card-building in early pregnancy. The main reason for not building card was that they did not know the need for card-building (35.7%) and living abroad (24.8%). Of the 196 people found to be pregnant by health care facilities, the rate was 55.1%. The rates of first trimester pregnancy in pregnant women diagnosed in the health care institutions in this area were higher than those in other agencies and foreign institutions in the area (P <0.001). Multivariate Logistic regression analysis found that out-of-home pregnancy and unplanned pregnancy in early pregnancy were risk factors for early pregnancy, and the number of births was the protective factor in early pregnancy. Conclusions The prenatal checkup rate of pregnant women in Guangde County was significantly higher than that of the card rate during the first trimester. The actual maternal system management rate was higher than the number of reported cases. The main reasons for not having antenatal check-ups and card-building during the first trimester were unknown and living abroad ; Health institutions prenatal check-up rate and card rate were significantly higher than other medical institutions.