Questionnaire About Perinatal Women’s Basic Health And Health Knowledge Cognition In Qiqihar City

Objective:By questionnaire about perinatal women’s basic health and health knowledgecognition to gauge women prenatal, postpartum reproductive health in Qiqihar City.Analysis of relevant factors that influence the health of the local perinatal women, inorder to develop health interventions and health education in line with thecharacteristics of the local population. decision-making basis for the development ofperinatal women’s health.Methods:Selecting the894respondents come from Qiqihar Second People’s HospitalMaternity department, Pregnant school and Maternity ward which from November2013to June2014. Respondents were surveyed through questionnaires and medicalrecords review. The survey includes four aspects：basic personal situation、 perinatalwomen related issues during pregnancy、postpartum maternal health knowledge andperinatal nutrition knowledge. The respondents conducted questionnaire survey tounderstand the region perinatal women health. Using EpiData software to establisha database, using SPSS19.0statistical software package for statistical analysis.Results:1.There were894cases of perinatal women for the survey, accounting for92.0percent of Han, Daur, Manchu Korean, Mongolian and other ethnic minoritiesaccounted for8.0%; Urban residents accounted for49.0%, accounting for34percentof rural, urban fringe accounted for17.0%; The average age of respondents was27.79±4.40years old,26to30years old accounted for43.5%, less than20years ofage accounted for4.9%, greater than30years old accounted for38.0percent. Surveyof high school or college education accounted for51.8%, only6.6%of primary andbelow. Career in Business/Waiter, accounting for44.44%, up to22.5%of farmers,self-employed was14%, government/public institutions at least, accounting for 2.3%.2. Different cultural levels of perinatal women prenatal cases statisticallysignificant (χ2=25.387, P<0.001), higher cultural level of perinatal has higherproportion of women in prenatal care. There are differences in prenatal care forwomen in different occupations (χ2=25.043, P<0.001), Government/publicinstitutions were better prenatal care, agricultural laborers poor prenatal caresituation.3. Perinatal women surveyed in early maternal (first child)728,166throughmaternal, each with81.4%and18.6%. Minorities, women living in rural andperinatal older than30years old was a protective factor fertility multiple births.4. During pregnancy, high blood pressure accounted for9.7%; Proportionaged>30years old maternal gestational hypertension were significantly higher thanthe age≤30years of age (χ2=11.970, P=0.001); Blood sugar averaged5.03±1.01mmol/L, incidence of high blood sugar of3.7%.5.27.7%of perinatal women have pregnancy complications, mainly rupture ofmembranes, pregnancy-induced hypertension and gestational diabetes, theproportion was13.5%、9.7%and3.7%respectively;11.4%of people suffering fromchronic diseases in survey, pregnant women with anemia in chronic hepatitis primary(8.4%,2.3%), other rare diseases.6. Age exceed30, is suffering from maternal complications of pregnancy riskfactors (χ2=27.413, P＜0.001); Pregnancy, the risk factor is the number ofpregnancy complications, pregnant women occurred more than three times thepregnancy complications was significantly higher than pregnancy two times or less(χ2=10.786, P＜0.001). Occurrence nation, residence, education level, occupationand other factors associated with pregnancy complications, there was no significantassociation.7. Deliveries in675cases, the incidence of abnormal pregnancy were pretermbirth, date of production and stillbirth, the proportion was14.2%,2.1%and1.3%.8.675mothers choose cesarean section ratio of55.9%, higher than naturalchildbirth. Cesarean reasons, the highest proportion of uterine scar,28.9%; Hugechildren accounted for11.4%; Fetal abnormalities accounted for28.4%.Non-medical indications for cesarean section, compared to just8.2%. 9. Main factors affecting the mode of delivery of perinatal women haveresidence (χ2=10.591, P=0.005) and age (χ2=31.486, P=0.005).10.10.7%of mothers in childbirth occurred during childbirth complications,mainly for postpartum hemorrhage (9.0%), no uterine rupture. Older than30years ofage is a risk factor childbirth complications.11.18.1%of perinatal women postpartum lochia cleaned up to42days, the restwere clean within30days. Poor wound healing were48good people, accounting for7.1%.12.82.1%of mothers breastfeeding, pure artificial feeding only1.9%.13.58.3%antenatal survey conducted6-8times,the number of less than fivetimes by up to27.5%; City checking higher than in rural areas;22.8%of respondentsdid not know how to count fetal movements correctly.14. Perinatal women attend pregnant school school up to60.9%, but mostparticipate in only1or2times.15.80.4%perinatal women understand nutrition nutritional knowledge68.6%ofperinatal women increases on milk intake relatively to non-pregnant women.Increased intake of fruits and vegetables accounted for80.4%.90.2%of perinatalwomen taking folic acid during pregnancy on time; Urban was higher than ruralwomen on taking folic acid rate.16. There were3.9%of perinatal women were smoking, and2.0%of perinatalwomen were drinking. But there were40.2%of perinatal women were passivesmoking;Conclusions:1. There has a higher proportion of maternal age and a certain percentage ofyoung pregnant women in Qiqihar City2. The prenatal care had a low coverage. it is worth noting, especially in ruralareas and low cultural level of the population;3. The health status and health knowledge level of perinatal women weredifferent based on age, education, occupation and residence;4. The maternal have high prevalence of hypertension in pregnancy; A higherincidence of preterm birth;5. The maternal choose cesarean section up to55.9%, which need healthauthorities attach great importance; 6. The maternal choose breastfeeding, compared to just82.1percent;7. Survey of newborn sex ratio, the proportion of girls (50.7%) was higher thanboys (49.3%), unlike other regions reported.Based on the above issues，we should provide education according to thecharacteristics of different populations, and improve the reproductive health ofwomen in the region.