伊朗伊斯兰共和国农村地区实施卫生部门改革后产前保健的利用率
The utilization rate of antenatal care after health sector reform implementation in rural areas of Islamic Republic of Iran.
作者信息
Alikhasi Narges, Khadivi Reza, Kheyri Maryam
机构信息
Department of Community Medicine, Medical School, Hazarjarib St. Medical School, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Community Medicine, Social Determinants of Health Research Center, Hazarjarib St.Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
Iran J Nurs Midwifery Res. 2014 Nov;19(6):613-9.
BACKGROUND
Improving the utilization rate of antenatal care is a critical strategy for achieving the reproductive health goals in Iran. The aim of this study was to assess the utilization rate of antenatal care (ANC) by women after health sector reform (HSR) interventions in rural areas of Islamic Republic of Iran (IR Iran).
MATERIALS AND METHODS
This is a retrospective cross-sectional study. The data were gathered by cluster sampling from 400 motherhood records of mothers whose last pregnancies had been terminated in the first 3 months of 2013. Data were collected from 21 rural health centers of Isfahan district during the year 2013. The utilization rate of ANC by mothers was assessed by the number of visits they had, the time of the first ANC visit, the occurrence of pregnancy- or delivery-related complications, and the number of postpartum visits.
RESULTS
The mean time of the first ANC was 9 ± 5.23(th) week of gestational age. For 69.3% of pregnant women, the first ANC was before the 12(th) week. Overall, the frequency of ANC visits ranged from 2 to 21, with the average of 10.6 ± 3.23 visits. 93.8% of the utilized ANC visits were adequate. 99.8% of the deliveries took place in the hospital. 99% of mothers had at least one visit in the postpartum period. 4% of the mothers had suffered from pregnancy-related complications.
CONCLUSION
It seems that IR Iran has achieved to one of the important objectives by its reform in health care access, that is, more ANC for pregnant women.
背景
提高产前保健利用率是伊朗实现生殖健康目标的一项关键战略。本研究旨在评估伊朗伊斯兰共和国农村地区卫生部门改革（HSR）干预措施实施后妇女的产前保健（ANC）利用率。
材料与方法
这是一项回顾性横断面研究。通过整群抽样收集了400份母亲孕产记录的数据，这些母亲的末次妊娠于2013年的前3个月结束。数据于2013年从伊斯法罕地区的21个农村卫生中心收集。通过母亲的就诊次数、首次产前检查的时间、妊娠或分娩相关并发症的发生情况以及产后就诊次数来评估母亲的产前保健利用率。
结果
首次产前检查的平均时间为孕龄9±5.23周。69.3%的孕妇首次产前检查在第12周之前。总体而言，产前检查的次数在2至21次之间，平均为10.6±3.23次。93.8%的已利用产前检查次数是足够的。99.8%的分娩在医院进行。99%的母亲在产后至少有一次就诊。4%的母亲患有妊娠相关并发症。
结论
伊朗似乎通过其在医疗保健可及性方面的改革实现了一项重要目标，即孕妇能获得更多的产前保健。
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