目的 了解重庆市各区县妇幼保健机构孕前保健服务现状.方法 对参加 2021 年重庆市孕前保健培训班的人员进行问卷调查.内容主要包括个人信息、各区县妇幼保健机构孕前检查开展现状、孕前相关知识知晓情况,共32个问题.按照经济发展、道路交通状况、资源环境承载能力、发展水平接近的原则和地理位置,把重庆市38个行政区县分为主城区组和非主城区组.比较两组孕前检查开展现状及孕前相关知识知晓情况.结果 共发放问卷 109份,回收有效问卷 101份,问卷有效回收率为 92.66%.所有医院均开展国家免费孕前优生检查,但风险人群复诊率低.两组孕前专科门诊、心理测评、免费孕前风险人群在本院复诊率、随访形式、多媒体宣传比例比较,差异有统计学意义(P<0.05).主城区孕前相关知识总分、B部分得分高于非主城区,差异有统计学意义(P<0.05).结论 重庆区县妇幼保健机构孕前保健服务能力需进一步提升.
Objective To understand the status quo of pre-pregnancy health care services in maternal and child health institutions in Chongqing.Methods A questionnaire survey was conducted among the participants of the 2021 Chongqing pre-pregnancy health training course.The contents mainly include:personal information,the status quo of pre-pregnancy inspection in maternal and child health institutions in various districts and counties,and the knowledge of pre-pregnancy.According to the principles of economic development,road traffic conditions,resource and environment carrying capacity,close level of development and geographical location,38 administrative districts and counties in Chongqing were divided into main urban area group and non-main urban areas group.The status quo of pre-pregnancy examination and knowledge of pre-pregnancy were compared between the two groups.Results A total of 109 questionnaires were sent out,and 101 were effectively collected,with an effective recovery rate of 92.66%.All hospitals carried out free pre-pregnancy eugenic check-ups,but the return rate of at-risk groups was low.There were statistically significant differences between the two groups in the rate of return visits,follow-up forms and the proportion of multimedia publicity among pre-pregnancy specialist clinics,psychological assessment,free pre-pregnancy risk groups in the same hospital(P<0.05).The total score of related knowledge before pregnancy and the score of part B in the main urban area group were higher than those in the non-main urban area group,and the differences were statistically significant(P<0.05).Conclusion The pre-pregnancy health care service capacity of Chongqing district and county maternal and child health institutions needs to be further improved.