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目的了解流动人口女性孕产期保健状况及影响因素。方法选取2014年1月后妊娠,孕期所在地为外地且在外地分娩的女性为研究对象。描述其孕产期保健情况,分析妊娠期间接受健康体检次数、产后42 d是否接受健康检查的影响因素。结果共纳入4 838名女性为研究对象。妊娠期间接受健康体检的平均次数为7.43次(不包括在临产当天入院进行的检查),接受至少5次产前检查的孕妇比例为77.16%,66.48%的产妇在产后28 d内接受了入户产后访视,78.86%的产妇在产后42 d内接受了健康体检。多元逐步回归分析显示:年龄、受教育程度、配偶受教育程度,收入、所在区域、子女数为妊娠期间接受健康体检次数的影响因素;年龄大、配偶受教育程度高、高收入、所在区域为东部地区、目前有工作对产后接受健康检查有促进作用;子女数量多不利于产后接受健康检查。结论流动人口女性对孕产期保健的利用不足,应采取适合流动人口女性的孕产期保健服务措施,并针对相关危险因素开展干预措施。
Objective To understand the status of maternal health and its influencing factors among floating population women. Methods The women who were pregnant after gestation and were in the field during the first trimester in 2014 and were born in the field were selected as the study subjects. Describe their maternal health status, analysis of the number of physical examination during pregnancy, 42 days postpartum whether to accept the impact of health checks. Results A total of 4838 women were included in the study. The average number of physical examinations during pregnancy was 7.43 (excluding those admitted to hospital on the day of labor), 77.16% of pregnant women who received at least 5 prenatal examinations, and 66.48% of women received home-visits within 28 days of delivery During postpartum visit, 78.86% of the mothers received a physical examination within 42 days after delivery. Multivariate stepwise regression analysis showed that age, educational attainment, education level of spouse, income, region and number of children were the influencing factors for the number of healthy physical examination during pregnancy. The age, educational attainment and income of spouses were In the eastern region, there are currently jobs that promote post-partum health checks; the number of children is not conducive to postnatal health checks. Conclusions Female migrants living with maternity period are not enough to take care of their maternal health. Maternal health service measures suitable for female migrants should be taken and interventions should be made according to the relevant risk factors.