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目的了解孕妇建卡状况,加强围产期保健,促进生殖健康。方法在建立《孕产妇保健手册》时对424例建卡孕妇逐一询问,填写调查表,所有资料进行统计学分析。结果在424例孕妇中,计划妊娠占29.72%,非计划妊娠占70.28%,其中早孕建卡者占38.38%。推迟建卡的原因主要是不知道早孕建卡(占36.10%),以为3个月以后建卡(占20.52%)及部分医务人员说3个月后建卡(占12.02%)。先兆流产保胎或早孕反应过重者占10.85%。建卡的孕妇中有人工流产史的比例较高,占48.65%。在建卡时发现的高危因素中,居前3位的分别是疤痕子宫、高龄妊娠、人工流产大于等于3次。结论围产期保健应重视孕前保健,选择最佳生育年龄,提倡有计划妊娠,广泛宣传围产期保健知识,提高早孕建卡率,降低人工流产率及剖宫产率,减少高危妊娠的发生,保护妇女生殖建康。
Objective To understand the status of pregnant women to build card, strengthen perinatal care and promote reproductive health. Methods In the establishment of “maternal health handbook”, 424 cases of card-building pregnant women were asked one by one, fill in the questionnaire, all the data for statistical analysis. Results Among the 424 pregnant women, 29.72% planned pregnancies, 70.28% unplanned pregnancies, of whom 38.38% were carding in early pregnancy. The reasons for postponing the construction of the card are mainly because they do not know the card during the first trimester (36.10%), thinking that they will build a card after 3 months (20.52%) and some medical staff will build a card after 3 months (12.02%). Threatened abortion or early pregnancy reaction overweight accounted for 10.85%. The proportion of pregnant women with card-making abortion history was high, accounting for 48.65%. The risk factors found in the card, the top three are the scar of the uterus, geriatric pregnancy, abortion more than or equal to 3 times. Conclusion Perinatal health care should focus on prenatal care, select the optimal age of birth, advocate planned pregnancy, widely publicize perinatal health knowledge, improve early card rate, reduce induced abortion and cesarean section rate and reduce the incidence of high-risk pregnancy , To protect women’s reproductive health.