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目的了解北方农村孕产妇围生保健特征的分布情况。方法对1997～2000年河北5县孕产妇的围生保健资料进行频数分析。结果早孕检查率由1997年的77．3％ (10 513／13 607)上升到2000年的81．7％(10 998／13 460);平均产前检查次数和5次以上产前检查率1997年最高,为7．0次和87．4％(11 893／13 607),2000年时最低,为5．8次和73．2％ (9 850／13 460);1997年的住院分娩率为87．4％(11 879／13 607),2000年时上升到97．3％ (13 103／13 460);4年间3次及3次以上产后访视率均在95．0％以上,最高为(3．4±0．7)次, 最低为(3．3±0．6)次。结论河北省农村地区的住院分娩率已接近南方经济发达地区的水平;孕妇平均产前检查次数与5次及5次以上产前检查率呈逐年下降的趋势,这一问题有待进一步研究。
Objective To understand the distribution of perinatal health care features in northern rural areas. Methods The frequency of perinatal care data of maternal in 5 counties of Hebei Province from 1997 to 2000 was analyzed. Results The rate of early pregnancy examination increased from 77.3% (10 513/13 607) in 1997 to 81.7% (10 998/13 460) in 2000; the average number of prenatal examinations and 5 or more antenatal examinations in 1997 The highest was 7.0 and 87.4% (11 893/13 607) respectively, the lowest in 2000, 5.8 and 73.2% (9 850/13 460) respectively. The 1997 rate of hospital delivery , 87.4% (11 879/13 607), and rose to 97.3% (13 103/13 460) in 2000. The incidence of postpartum visits was above 95.0% at three or more times in 4 years, The highest was (3.4 ± 0.7) times and the lowest was (3.3 ± 0.6) times. Conclusions The hospital delivery rate in rural areas of Hebei Province is close to that of the economically developed areas in the south of China. The average number of prenatal visits and the rate of prenatal visits of 5 or more times show a declining trend year by year. This issue needs further study.