Abstract：Objective To investigate the situation of maternal healthcare management in Tongzhou district of Beijing and to explore the weakness, hence to put forward management countermeasures to improve maternal health.Methods Medical information of the singleton pregnancies in Tongzhou District of Beijing, from January 1, 2013 to December 31, 2017, were collected through electronic medical records system to build the retrospective cohort.According to the characteristics of household registration, 59 281 women with singleton deliveries were divided into three groups: 1) registered population, 2) floating population and 3) floating pregnant woman whose spouse is registered population.Age was compared by analysis of variance, and other socio-demographic characteristics, previous medical history, pregnancy and neonatal status were compared by chi-square test.Results In this study, the registered population group was 25 051 (42.3%); the floating pregnant woman whose spouse is registered population group was 9 017 (15.2%); and the floating population group was 25 213 (42.5%).The rate of registration of maternal and child health records in Beijing, the first antenatal care conducted in the first trimester, antenatal care with at least eight visits and the postpartum care with at least 2 visits in the registered population group and the floating pregnant woman whose spouse is registered population group, which were higher than the floating population group, and the differences were statistically significant (P<0.001).The proportion of the floating population group choosing tertiary hospitals was lower than that of the other two groups, and the proportion of natural childbirth was higher than that of the other two groups, and the difference was statistically significant (P<0.001).The distribution of gestational age and neonatal birth weight among the three groups were statistically significant (P<0.001 and P=0.004).However, there were no statistically significant differences among the three groups in terms of the rate of perinatal outcomes (P>0.05).Conclusion Various prenatal healthcare management should be carried out to implement basic public health services, improve the rate of early pregnancy registration and standardize prenatal and postpartum visits, so as to improve the quality of maternal health care and promote maternal and child health aiming at floating population in Tongzhou District of Beijing.
韩娜, 徐相蓉, 林力孜, 刘珏, 刘峥, 任正洪, 罗树生, 王海俊. 2013年—2017年北京市通州区流动人口孕产妇保健管理现状分析[J]. 中国生育健康杂志, 2019, 30(3): 201-205.
HAN Na, XU Xiangrong, LIN Lizi, LIU Jue, LIU Zheng, REN Zhenghong, LUO Shusheng, WANG Haijun. An analysis of maternal healthcare management situation in Tongzhou district of Beijing from 2013 to 2017. Chinese Journal of Reproductive Health, 2019, 30(3): 201-205.
