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目的:了解孕产妇产前检查、分娩医院以及孕产期保健服务费用的情况,为完善生育保障制度、合理布局产科资源提供依据。方法:对浦东新区45家社区卫生服务中心的1 000名早孕建册孕妇和552名产后访视产妇采用自行设计的问卷进行调查。结果:在1 000名早孕建册孕妇和552名产后访视产妇中①非户籍的占52.30%和43.84%;无任何医疗保险的占19.20%和16.12%。②选择在本区产前检查和分娩的占81.60%和79.53%;选择分娩医院首选条件为路程离家近,其次是医疗技术和医疗环境。③孕妇期望产前检查费用6 000元以内的占73.30%,产妇实际产前检查费用6 000元以内占的89.67%;孕妇期望分娩费用10 000元以内的占76.60%,产妇实际分娩费用10 000元以内的占88.58%。④552名产妇下次分娩选择平价分娩点的占12.50%,选择公立二、三级医院的占76.81%,选择特需服务的占10.69%。结论:合理建立外来人口孕产妇生育保障体系;做好区域助产医疗机构的合理布局,满足群众的需求;合理引导好孕妇选择区域内助产医疗机构分娩。
OBJECTIVE: To understand the situation of maternity prenatal care, delivery hospital and maternity health care service, so as to provide basis for improving maternity protection system and rational distribution of obstetric resources. Methods: A total of 1000 pregnant women with early pregnancy and 552 postpartum visiting mothers in 45 community health service centers in Pudong New Area were surveyed by self-designed questionnaire. Results: Of the 1000 pregnant women with early pregnancy and 552 postpartum women visiting postpartum women, 52.30% and 43.84% were non-household; 19.20% and 16.12% had no medical insurance. ② choose prenatal examination and childbirth in this area accounted for 81.60% and 79.53%; choice of delivery hospital preferred conditions for the distance away from home, followed by medical technology and medical environment. Expectant pregnant women expected prenatal examination costs less than 6000 yuan accounted for 73.30%, maternal actual prenatal examination costs less than 6,000 yuan accounted for 89.67%; pregnant women expect delivery costs within 10 000 yuan accounted for 76.60%, maternal actual delivery costs 10 000 Within the yuan accounted for 88.58%. ④552 maternity choose delivery parity delivery point accounted for 12.50%, choose public secondary and tertiary hospitals accounted for 76.81%, choose special services accounted for 10.69%. Conclusion: It is reasonable to establish a maternity maternity protection system for migrant population; to do a reasonable layout of the regional midwifery medical institutions to meet the needs of the masses; and to properly guide the pregnant women to choose midwifery medical institutions for delivery within the selected area.