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目的了解上海市新婚对象接受孕前保健服务的意愿和相关需求。方法自2011年4-6月,在上海市17个区县的婚姻登记点中抽取了1030对结婚登记的夫妇,通过问卷调查方式了解其基本情况,对孕前检查的期望和影响因素等。结果1新婚对象男女双方主要从事科教文卫等专业技术和行政管理工作;学历均以大专本科为主;双方户籍均以本市户籍为主,女方非本市户籍比例略高。2男女双方接受婚前检查的比例接近,分别为67.4%和69.2%;接受调查的对象中,有73.6%的夫妇尚无生育计划。3绝大多数对象希望通过孕前检查达到预防出生缺陷和保障孕妇安全的目的。4被调查人群对孕前检查的需求方面,有64.9%的人选择希望免费,66.2%的对象选择了希望在周末,90.3%的对象选择了愿意在妇幼保健机构进行检查。5对象最关注的是孕前检查的检查效果和服务质量。6对象了解孕前检查的途径以婚前检查时医师告知(64.9%)和同事朋友介绍(46.4%)为主。结论对象以预防出生缺陷和保障孕妇安全作为孕前检查的主要目的,而检查的效果,服务质量是影响其是否参加的主要因素。把孕前检查设置在妇幼保健机构,安排在对象方便的时间和免除费用对检查有一定的促进力度。
Objective To understand the willingness of the newlyweds in Shanghai to receive prenatal care services and their related needs. Methods From March to June of 2011, 1030 pairs of married couples were enrolled in the marriage registration points of 17 districts and counties in Shanghai. The questionnaires were used to understand the basic conditions, expectations and influencing factors of pre-pregnancy examination. The results of a newlywed object of both men and women mainly engaged in science, education, culture and health and other professional and administrative work; academic records are college-based; both household registration are based in the city domicile, the proportion of non-women in the city a little higher. 2 The rates of premarital examination for both men and women were similar, at 67.4% and 69.2%, respectively. Of the subjects surveyed, 73.6% had no maternity plan. 3 The vast majority of people want to achieve the goal of preventing birth defects and ensuring the safety of pregnant women through pre-pregnancy examination. In terms of the demand for pre-pregnancy examination, 64.9% of the respondents chose free and 66.2% of the respondents chose the hope that over the weekend, 90.3% of the respondents chose to be examined at MCH. 5 objects are most concerned about the pre-pregnancy test results and quality of service. 6 subjects to understand the way of pre-pregnancy check to premarital doctor informed (64.9%) and colleague friend introduction (46.4%) dominated. Conclusions The object is to prevent birth defects and protect the safety of pregnant women as the main purpose of preconception examination. The effect of examination and quality of service are the main factors that influence whether or not they participate. The pre-pregnancy test set in the MCH institutions, arranged at the object convenient time and exemption costs on the inspection to a certain extent.