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目的为了解贫困对城市孕产妇保健的影响及城市低保家庭孕产妇保健服务现状。方法根据对全区低保家庭名单中的49名0~3岁儿童母亲进行普查,另根据低保家庭儿童年龄在相应居住社区按1:2比例随机抽样98名非低保家庭0~3岁儿童母亲,共147人进行调查。结果低保家庭孕产妇的孕产期保健服务的知晓率、孕前咨询率、孕前3个月服用叶酸率、孕期接受5次以上产检率及接受产后访视率,与非低保家庭孕产妇比较,差异有统计学意义(P<0.01),同时低保家庭孕产妇贫血发生率达26.09%,处于较高水平。结论低保家庭孕产妇保健服务和健康状况较为不理想,政府相关部门需加强合作,建立有效机制,完善一系列的具体措施,改善贫困家庭孕产妇生活条件;加强健康教育提高贫困家庭孕产妇对妇幼保健服务的利用意识以及保健知识水平。
Objectives To understand the impact of poverty on urban maternal health and the status of maternal health services in urban subsistence allowances. Methods According to the census of 49 mothers aged 0 ~ 3 in the district’s subsistence allowance families, and according to the proportion of 1: 2, 98 non-subsistence families aged 0-3 years A total of 147 mothers and children were investigated. Results The awareness rate of prenatal care services for pregnant women with low-income families, pre-pregnancy consultation rate, folic acid intake rate during the first trimester, pregnancy rate of more than 5 times during pregnancy and the rate of receiving postpartum visits were compared with those of non-dibao family pregnant women , The difference was statistically significant (P <0.01), while the incidence of maternal anemia in low-income families reached 26.09%, at a high level. Conclusions Maternal health care services and health conditions in the lowest-income families are not satisfactory. Relevant government departments need to strengthen cooperation, establish effective mechanisms and improve a series of specific measures to improve the living conditions of pregnant women in poor families. Strengthen health education to increase the number of pregnant women in poor families Awareness of maternal and child health services utilization and knowledge of health care.