al-Shammari S A, Khoja T, Jarallah J S
Department of Family & Community Medicine, College of Medicine, King Saud University, Saudi Arabia.
J R Soc Health. 1994 Apr;114(2):62-6. doi: 10.1177/146642409411400203.
1344 expectant mothers were selected by random sampling from the catchment population of 15 health centres in Riyadh. The health centres were taken to represent all areas of urban Riyadh. These mothers were asked to complete a pre-designed questionnaire in Arabic and undergo a structured interview by trained midwives to explore their knowledge, attitude and practice toward antenatal visits. It was found that the average gestational age at booking was 13 weeks. The number of antenatal visits achieved during the current pregnancy was 6. 97% of expectant mothers were aware of the importance of antenatal visits. Various demographic characteristics were studied in relation to the number of antenatal visits achieved and the gestational age at booking. It was found that the level of education of both husband and wife and poor obstetric history significantly affected gestational age at booking, (P-values) were less than 0.03 and 0.002 respectively). However the family income and gestational age at booking affected the number of antenatal visits (P-values were less than 0.0003 and 0.0001 respectively). The respondents' most striking reason for non-compliance was related to accessibility to health centre. 23.3% thought that the health centres were far away from their residence and they needed to involve the husbands in driving them to health centres. Recommendations were given to improve aspects of accessibility and inviting more antenatal visits in addition to improving quality of such service.
通过随机抽样从利雅得15个健康中心的服务人群中选取了1344名孕妇。这些健康中心被视为代表利雅得市区的所有区域。要求这些母亲用阿拉伯语填写一份预先设计好的问卷，并接受经过培训的助产士进行的结构化访谈，以了解她们对产前检查的知识、态度和做法。结果发现，登记时的平均孕周为13周。本次妊娠期间进行产前检查的次数为6次。97%的孕妇意识到产前检查的重要性。研究了各种人口统计学特征与产前检查次数和登记时孕周的关系。结果发现，丈夫和妻子的教育水平以及不良产科史对登记时的孕周有显著影响，（P值）分别小于0.03和0.002）。然而，家庭收入和登记时的孕周影响产前检查次数（P值分别小于0.0003和0.0001）。受访者不遵守规定最突出的原因与前往健康中心的便利性有关。23.3%的人认为健康中心离他们的住所很远，他们需要丈夫开车送他们去健康中心。除了提高此类服务的质量外，还提出了改善便利性和吸引更多产前检查的建议。
