CAJ | 학술논문

目的：了解四川省农村孕妇孕前健康检查工作的开展现状，发现该项工作在农村开展可能存在的重难点，为推进此项工作在全省农村地区的广泛开展提供参考依据。方法选取四川省的成都、内江、南充等8个地市，在妇幼保健机构对农村孕期妇女进行调查。结果农村地区孕妇孕前健康检查率为33．26％。调查对象中意外怀孕现象普遍，意外怀孕率近40．00％。在计划怀孕的人群中，进行了孕前健康检查的比例不高，仅为55．29％。计划怀孕和个人对孕前检查的态度是影响农村孕妇是否进行孕前健康检查的因素。结论孕前健康检查在四川农村孕妇中开展情况不佳，孕检率低，出生缺陷预防意识不强，参与主动性差，对孕前健康检查工作应加大宣传力度。
목적：료해사천성농촌잉부잉전건강검사공작적개전현상，발현해항공작재농촌개전가능존재적중난점，위추진차항공작재전성농촌지구적엄범개전제공삼고의거。방법선취사천성적성도、내강、남충등8개지시，재부유보건궤구대농촌잉기부녀진행조사。결과농촌지구잉부잉전건강검사솔위33．26％。조사대상중의외부잉현상보편，의외부잉솔근40．00％。재계화부잉적인군중，진행료잉전건강검사적비례불고，부위55．29％。계화부잉화개인대잉전검사적태도시영향농촌잉부시부진행잉전건강검사적인소。결론잉전건강검사재사천농촌잉부중개전정황불가，잉검솔저，출생결함예방의식불강，삼여주동성차，대잉전건강검사공작응가대선전력도。
Objective To investigate the situation of pre-pregnancy health check in rural areas of Sichuan province and get the key difficult points during the process of carrying out the work.Methods According to the economic situation in Sichuan province and geographic distribution,random eight areas in Sichuan province (Chengdu,Neijiang,Nanchong,Ziyang,Meishan,Zigong,Les-han and Suining),investigate pregnant women in maternal and child health care institutions and family planning service institutions at all all levels in the areas above.Results Only 334 people (33.26%)underwent the pre-pregnancy health check during the 974 pregnant women in rural areas.The rate of planned pregnancy is low;the rate of unintended pregnancy is close to 40.00%.55.29%of the planned pregnancy women didn′t undergo the pre-pregnancy health check.And the factors that affect their behavior of under-going pre-pregnancy health check are whether planned pregnancy and personal attitude towards pre-pregnancy health check.Conclu-sion The rate of pre-pregnancy health check is low in the pregnant women from rural areas of Sichuan province,the health sector needs to make efforts to promote and enhance the awareness of the rural pregnant women to prevent birth defects and the initiative in participation.