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目的:加强社区孕情监测力度,提高孕期保健管理质量。方法:在上海市各区(县)试点社区建立孕情监测网络,通过比较孕情监测工作实施前后(2008年4～9月与2009年4～9月)的社区孕期管理指标评估该工作的成效。结果:孕情监测工作试点实施后,孕妇建册数增加了26.2%,早孕建册率从39.4%提高到43.9%(P<0.01),建册时间提早(P<0.01);中心城区孕妇早孕建册率(57.2%)高于周边城区(34.9%)(P<0.01),建册时间早于周边城区(P<0.01);孕情监测人力资源分布在中心城区和周边城区之间存在较大差异;受监测孕妇早孕建册率(47.1%)高于未受监测孕妇(31.3%)(P<0.01),建册时间早于未受监测孕妇(P<0.01),且孕妇越早受到监测其建册时间也越早。结论:孕情监测工作促进了社区孕情管理由被动等待向主动发现的转变,提高了孕期保健服务的可及性与公平性。
Objective: To strengthen the community pregnancy monitoring efforts to improve the quality of health care during pregnancy. Methods: Establishing a pregnancy monitoring network in pilot communities of all districts and counties in Shanghai to evaluate the effectiveness of this work by comparing the indicators of community pregnancy management before and after the implementation of monitoring of pregnancy (April-September 2008 and April-September 2009) . Results: After the implementation of pregnancy monitoring work, the number of pregnant women was increased by 26.2%, the rate of early pregnancy was increased from 39.4% to 43.9% (P <0.01) (57.2%) was higher than that of the surrounding urban areas (34.9%) (P <0.01), and the building time was earlier than that of the surrounding urban areas (P <0.01). There was a significant difference in the distribution of pregnancy monitoring human resources between the urban centers and the surrounding urban areas (47.1%) were higher than those of unmonitored pregnant women (31.3%) (P <0.01), and the time of album building was earlier than that of unmonitored pregnant women (P <0.01), and the earlier the pregnant women were The earlier it is time to monitor its build time. Conclusion: The monitoring of pregnancy status promotes the transition from passive waiting to active management of pregnancy status in pregnant women, and improves the accessibility and fairness of health care services during pregnancy.