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目的 了解昆山市孕产妇保健服务利用现状,探讨影响孕产妇保健服务利用的因素,为改善服务利用提供信息支持.方法 应用自拟问卷对2009年以后分娩的昆山市536名孕产妇进行调查,了解孕产妇保健服务利用情况及分析影响因素.结果 孕产妇产前检查≥1次占99.1％,产前检查≥5次占96.6％,首检孕周＜12周占80.2％,建卡率占96.0％,产后访视≥1次占71.0％,产后访视≥3次占6.1％,剖宫产率占40.5％.孕产妇保健服务利用水平在收入和距最近医院距离上差异无统计学意义(P＞0.05).户籍对产前检查率、建卡率、首检孕周＜12周无影响,差异无统计学意义(P＞0.05).结论 昆山市孕产妇保健服务利用水平总体较高,外来人口孕产妇保健服务利用仅产后访视较低,市内公立医院的住院分娩服务面临较大的供给压力.“,”Objective To investigate the utilization status of maternal health care services in Kunshan,explore the influencing factors,and provide information support for improvement of service utilization.Methods A self-designed questionnaire was used to survey 536 women giving birth to their babies in Kunshan after 2009,the utilization status of maternal health care services was investigated,and the influencing factors were analyzed.Results Among the 536 women surveyed,the rate of prenatal examination was 99.1％,96.6％ of them received prenatal examination at least 5 times,80.2％ of them received prenatal examination for the first time within 12 weeks,the registration rate of systemic health management was 96.0％,the rate of postpartum visit was 71.0％,6.1％ of them received postpartum visit for 3 times or more than 3 times,the rate of cesarean section was 40.5％.There was no statistically significant difference in the utilization level of maternal health care services among women with different income levels and different distances to the nearest hospital (P＞0.05).Registered permanent residence had no significant impact on the rate of prenatal examination,the registration rate of systemic health management,and receiving prenatal examination for the first time within 12 weeks (P＞0.05).Conclusion The utilization level of maternal health care services is high in Kunshan,postpartum visit rate of floating pregnant women is low,the supply of hospital delivery services in public hospital is under pressure.