Abstract：Objective This study investigated the number of women who received the antenatal care (ANC) and analyzed the factors of ANC compliance in Tongzhou district of Beijing, in order to improve ANC there. Methods We conducted a retrospective study including 54239 women with singleton delivery from 11 hospitals in Tongzhou, from July, 2013 to December, 2017. We calculated the average numbers of ANC and proportions of women who regularly received ANC, and analyzed trend of the proportions during 2013-2017. We utilized a Logistic regression model to find out the factors that influenced the ANC compliance. Results Median of number of ANC increased from 9 per year during 2013-2015 to 10 in 2016, and to 11 in 2017. Proportions of women who regularly received ANC were increased from 12.9% in 2013 to 45.2% in 2017. The proportion of the first ANC (women who received ANC before 13 pregnancy weeks) rapidly increased from 18.4% in 2013 to ~70% in 2016 and 2017. Among different social-economic subgroups, lower proportion of ANC women was found for the mothers under 25 years old, the mothers with education level equal or below junior high school, the unemployed, the farmers, and the families without Beijing Hukou. The results of logistic regression indicated that the factors influencing the first ANC included maternal age, education level, occupation, Hukou, natural abortion history, and were unchanged during 2013-2017. While, few factors except maternal age, Hukou and number of pregnancies in 2017, significantly affected the fifth ANC (women who received ANC during 37-40 pregnancy weeks). Conclusion Our findings suggest that specific healthcare managements should be applied to more vulnerable subgroups including the young, the lower educated, and the migrant, in order to improve ANC service and to protect maternal and child health.
赵志玲, 刘峥, 刘珏, 徐相蓉, 王海俊, 罗树生. 北京市通州区产前检查依从性研究[J]. 中国生育健康杂志, 2019, 30(5): 401-406.
ZHAO Zhiling, LIU Zheng, LIU Jue, XU Xiangrong, WANG Haijun, LUO Shusheng. An epidemiological study on compliance of antenatal care in Tongzhou District of Beijing, China. Chinese Journal of Reproductive Health, 2019, 30(5): 401-406.
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