摘要
目的:了解高龄孕产妇孕前及孕期检查情况,并分析影响孕前检查和孕期规律产检的相关因素。方法:选取2020年1-12月本院产科门诊接诊的562名高龄孕妇作为调查对象,调查其孕前和孕期检查情况并分析相关影响因素。结果:与未接受孕前检查孕妇相比,接受孕前检查者的文化程度、家庭收入更高,从计划生育服务人员处获取孕前保健知识、知晓免费孕前检查政策、认为孕前检查必要、了解不做孕前检查风险者占比均更高(P<0.05)。多因素分析显示,小学及以下、初中/高中文化程度孕产妇的孕前检查率更低,知晓免费孕前检查者孕前检查率更高;相比从计划生育服务人员处获取孕前保健知识,从其他途径获取孕前保健知识孕产妇的孕前检查率更低;认为孕前检查必要、了解不做孕前检查风险孕产妇的孕前检查率更高。与非规律产前检查孕妇相比,规律产前检查孕妇的文化程度、配偶文化程度、家庭月收入更高,居住地为城市、妊娠保健知识认知水平高、认为产检必要、了解不做产检风险者占比更高(P<0.05)。多因素分析显示小学及以下文化程度、农村孕妇的规律产前检查率更低,妊娠保健知识认知水平高者、认为产检必要、了解不做产前检查风险的孕产妇规律产前检查率更高。结论:高龄孕产妇孕前检查及规律产前检查受多种因素影响,文化程度低、对孕前及孕期检查重要性认知不足是影响其参与检查的主要因素。
Objective:To understand the status of pre-pregnancy and pregnancy examinations of elderly pregnant women,and to analyze its related influencing factors.Methods:562 elderly pregnant women were selected as the survey objects from January to December 2020.The status of pre-pregnancy and pregnancy examinations of these women were investigated and its related influencing factors were analyzed.Results:Compared those of the pregnant women without pre-pregnancy examination,the educational level and family monthly income of the pregnant women with pre-pregnancy examination were significant higher,and the proportions of the knowledge about pre-pregnancy health care from the family planning service personnel,understanding the policy of free pre-pregnancy examination,knowing the necessary of pre-pregnancy examination,and understanding the risk of no pre-pregnancy examination of the pregnant women with pre-pregnancy examination were also significant higher(P<0.05).Multivariate analysis showed that the rate of pre-pregnancy examination of the women with primary school education level or below was significant lower than that of the women with middle/high school education level,and the rate of pre-pregnancy examination of the women who had known the free pre-pregnancy examination was significant higher.The rate of pre-pregnancy examination of the women who had received the knowledge about pre-pregnancy health care from the family planning service personnel was significant higher than that of the women who had received the knowledge about pre-pregnancy health care from other providers.The rates of pre-pregnancy examination of the women had understood the necessary of free pre-pregnancy examination and the women who knew the risk of no pre-pregnancy examination were significant higher.Compared with those of the pregnant women with irregular prenatal examination,the education level,education level of their spouses,monthly family income,and the proportions of living in the city,the higher cognition level on pregnancy health knowledg
作者
章历红
赵灵
ZHANG Lihong;ZHAO Ling(Nanjing Maternal and Child Health Care Hospital, Nanjing, Jiangsu Province, 210001)
出处
《中国计划生育学杂志》
2021年第8期1563-1567,共5页
Chinese Journal of Family Planning
关键词
高龄孕产妇
孕前检查
产前检查
影响因素
Elderly pregnant women
Pre-pregnancy examination
Prenatal check-up
Influencing factors
