Kogan M D, Alexander G R, Kotelchuck M, Nagey D A, Jack B W
Centers for Disease Control and Prevention, National Center for Health Statistics, Followback Survey Branch, Hyattsville, MD 20782.
Public Health Rep. 1994 Sep-Oct;109(5):637-46.
The Public Health Service's Expert Panel on the Content of Prenatal Care Report in 1989 provided detailed guidelines for the components of each prenatal visit. However, the extent to which women were receiving the recommended care when the guidelines were being formulated has yet to be determined. The 1988 National Maternal and Infant Health Survey results permit an examination of the proportion of women who reported receiving some of the recommended procedures. Women were asked if they received six of the recommended procedures (blood pressure measurement, urine test, blood test, weight and height taken, pelvic examination, and pregnancy history) in the first two visits, and whether they received seven types of advice or counseling (nutrition; vitamin use; smoking, alcohol, and drug use cessation; breastfeeding; and maternal weight gain) any time during their pregnancy. Only 56 percent of the respondents said they received all of the recommended procedures in the first two visits, and only 32 percent of the respondents said they received advice in all of the areas. Logistic regression analysis indicated that women receiving their care from private offices were significantly less likely to receive all the procedures and advice than women at publicly funded sites of care. This study suggests that recommendations of the Public Health Service's expert panel were not being met.
1989年公共卫生服务部产前护理报告内容专家小组提供了每次产前检查内容的详细指南。然而，在制定这些指南时，女性接受推荐护理的程度尚待确定。1988年全国母婴健康调查结果使得我们能够考察报告接受了一些推荐程序的女性比例。研究询问女性在头两次检查中是否接受了六项推荐程序（血压测量、尿检、血检、身高体重测量、盆腔检查和孕产史询问），以及她们在孕期的任何时候是否接受了七种类型的建议或咨询（营养、维生素使用、戒烟戒酒戒毒、母乳喂养和孕妇体重增加）。只有56%的受访者表示她们在前两次检查中接受了所有推荐程序，只有32%的受访者表示她们在所有领域都接受了建议。逻辑回归分析表明，在私人诊所接受护理的女性比在公共资助护理机构接受护理的女性接受所有程序和建议的可能性显著更低。这项研究表明公共卫生服务部专家小组的建议未得到落实。
