王燕南 顧曉青 陳海英 唐秀林 錢磊

摘 要 目的：通過對(duì)西渡社區(qū)衛(wèi)生服務(wù)中心建冊(cè)并在滬產(chǎn)檢的外來孕產(chǎn)婦進(jìn)行調(diào)查分析，旨在提升外來孕產(chǎn)婦對(duì)孕產(chǎn)期保健服務(wù)的利用。方法：選取2016年7月—2017年6月在中心建冊(cè)及在滬進(jìn)行產(chǎn)檢的656名外來孕產(chǎn)婦就其基本情況、獲知建冊(cè)渠道、是否接到建冊(cè)通知及產(chǎn)檢費(fèi)用等問題進(jìn)行調(diào)查，并對(duì)結(jié)果進(jìn)行匯總、分析。結(jié)果：受訪孕產(chǎn)婦的平均年齡為28.59歲；文化程度以初中為主（31.1%）；66.5%的孕產(chǎn)婦知道應(yīng)進(jìn)行早孕建冊(cè)，主要的獲知渠道為居委通知、醫(yī)院告知等方式；正式接到建冊(cè)通知者占47.3%；高學(xué)歷孕產(chǎn)婦與低學(xué)歷孕產(chǎn)婦在家庭月收入、在職情況、早孕建冊(cè)知曉率、是否接到建冊(cè)通知、獲知建冊(cè)渠道等方面的差異均有統(tǒng)計(jì)學(xué)意義（P<0.05）；但不同學(xué)歷孕產(chǎn)婦在檢查次數(shù)及費(fèi)用方面的差異無統(tǒng)計(jì)學(xué)意義（P>0.05）。結(jié)論：低學(xué)歷孕產(chǎn)婦對(duì)孕產(chǎn)婦保健服務(wù)利用率較低，多部門、多地區(qū)應(yīng)聯(lián)合出臺(tái)相關(guān)政策，對(duì)低收入孕產(chǎn)婦的部分醫(yī)療費(fèi)用增加報(bào)銷力度，同時(shí)實(shí)施異地信息及時(shí)共享，對(duì)外來孕產(chǎn)婦做到全程連續(xù)性管理。

關(guān)鍵詞 孕產(chǎn)婦；孕產(chǎn)期保健管理；外來

中圖分類號(hào)：R715.3 文獻(xiàn)標(biāo)志碼：A 文章編號(hào)：1006-1533（2018）24-0012-03

Investigation of the current health care management during pregnancy and childbirth for floating pregnant women in Xidu Community

WANG Yannan1， GU Xiaoqing2， CHEN Haiying2， TANG Xiulin1， QIAN Lei1（1. Gynaecology and Obstetrics Department of Xidu Community Health Service Center of Fengxian District， Shanghai 201401， China； 2. Xidu Community Health Service Center of Fengxian District， Shanghai 201401， China）

ABSTRACT Objective： To investigate and analyze the floating pregnant women whose documents were registered and checked in Xidu Community Health Service Center in Shanghai to promote the utilization of health care management during pregnancy and childbirth. Methods： A total of 656 pregnant women who were registered in the Center from July 2016 to June 2017 and underwent obstetric examination in Shanghai were selected to investigate the basic situation， the channels for obtaining the information， whether to receive the notice of establishing documents and the cost of the obstetric examination， and the results were summarized and analyzed. Results： The average age of the pregnant women was 28.59 years old； the education level was mainly junior middle school（31.1%）； 66.5% of the pregnant women knew that early pregnancy should be registered to establish documents， and the main channels of getting the notification were from the residents committee and the hospital； 47.3% of the pregnant women received the notification of the establishment of documents formally； and the differences in the monthly income of the family of the pregnant women with high and low education， occupational status， the awareness rate of the establishment of documents in the early pregnancy， whether receiving the notification， and the channels of obtaining the information and so on were statistically significant（P<0.05）， but there was no significant difference in the number of examinations and costs among pregnant women with different education（P>0.05）. Conclusion： The utilization rate of maternal health care service of loweducated pregnant women is relatively low. Relevant policies should be jointly promulgated in many departments and regions to increase reimbursement for part of the medical expenses of low-income pregnant women， at the same time， information sharing in different places should be implemented and complete continuous management should be carried out for floating pregnant women.