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采用回顾性调查方法,在青海省乐都县和互助县抽样调查了孕产妇围产保健情况。用单因素和多元逐步回归分析了影响产前检查、住院分娩、新法接生早产后访视的因素。结果表明:孕产妇及丈夫的文化程度、居住地理环境、掌握的保健知识条数、现有子女数及计划内妊娠是主要影响因素。提出加强基层妇幼保建人员培训,加强高危管理,提高接生质量,鼓励高危孕产妇住院分娩,推行计划生育服务等干预措施。
A retrospective survey was conducted to investigate the maternal perinatal health care status in Lada County and Huzhu County in Qinghai Province. Factors influencing prenatal examination, hospital delivery, and newborn prenatal follow-up were analyzed by single factor and multiple stepwise regression analysis. The results showed that: maternal and her husband’s education, geographical environment, knowledge of health knowledge, the number of children and planned pregnancy are the main influencing factors. We proposed strengthening the training of grass-roots MCH workers, strengthening high-risk management, improving the quality of delivery, encouraging high-risk pregnant women to be hospitalized and delivering family planning services and other intervention measures.