上海市奉贤区出生缺陷一级预防现状、问题和对策

发布时间：2018-06-27 16:23

本文选题：出生缺陷 + 一级预防　；参考：《中国妇幼保健》2013年32期

【摘要】：目的:描述奉贤区出生缺陷一级预防开展的现状,探讨可能的影响因素,提出改善或提高一级预防干预策略。方法:对2012年1~6月到上海奉贤区各社区卫生服务中心产科初诊的孕妇共760名(本市和非本市各380名)进行问卷调查,并对部分对象开展深入访谈。结果:奉贤区出生缺陷一级预防开展项目较全面,但服务利用率不高,婚检率为31.4%,怀孕前、后3个月叶酸服用率35.3%,孕前检查率28.6%,孕前咨询率12.0%,优生培训率22.1%,孕12周前建卡率为55.3%。结论:建议建立区级协调机制,提高科学管理水平,努力打造婚前-孕前-围孕期保健模式,改善服务利用,改进出生缺陷一级预防工作。
[Abstract]:Objective: to describe the present situation of primary prevention of birth defects in Fengxian District, discuss the possible influencing factors, and put forward the strategies of improving or improving primary prevention and intervention. Methods: from January to June, 2012, 760 pregnant women (380 in this city and 380 in non-city) were investigated by questionnaire, and some of them were interviewed deeply. Results: the first level prevention of birth defects in Fengxian District was more comprehensive, but the utilization rate of service was not high. The rate of premarital examination was 31.40.The rate of folic acid use was 35.3g before pregnancy, the rate of examination before pregnancy was 28.6m, the consultation rate before pregnancy was 12.0%, the training rate of eugenics was 22.1%, and the rate of building cards before 12 weeks of pregnancy was 55.3. Conclusion: it is suggested to set up the coordination mechanism at district level, improve the level of scientific management, try to build the premarital-pre- and peri-pregnancy health care model, improve the utilization of services, and improve the primary prevention of birth defects.
【作者单位】：上海市奉贤区妇幼保健所;
【分类号】：R174

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