摘要
Abstract
Objective:To understand the current status of the inter-pregnancy interval between the first and second children of pregnant women and the factors affecting in the monitoring areas from 2016 to 2022,so as to provide a basis for the formulation of relevant policies and the evaluation of the effectiveness of the strategies implemented.
Methods:The data of this study came from the"Maternal and Newborn Health Monitoring Project".A total of 19 568 pregnant women who had resided for more than six months and underwent antenatal health care as well as delivered in nine monitoring districts(counties)of 5 provinces from January 1,2016 to December 31,2022 were selected as the research subjects.According to the relevant variables in the antenatal examination records and delivery records of the research subjects,the current status and influencing factors of the interval between the first and second children were analyzed.
Results:From 2016 to 2020,the average interval of pregnant women in the monitoring areas was(24.0±13.9)months,and the proportion of pregnant women with a relatively suitable interval between the first and second child(24 to 59 months)was 41.8％.Pregnant women who were 24 to 29 years old[OR=0.752,95％CI(0.574,0.986)],of other ethnic groups[OR=0.670,95％CI(0.587,0.763)],lived in rural areas[OR=0.775,95％CI(0.713,0.843)],had a high school/technical school/secondary education[OR=0.905,95％CI(0.834,0.981)],had college degree or above[OR=0.680,95％CI(0.629,0.734)],had two pregnancies[OR=0.911,95％CI(0.835,0.995)],or had a cesarean section[OR=0.444,95％CI(0.414,0.477)]were more likely to have a more suitable inter-pregnancy interval between the first and second children.
Conclusions:From 2016 to 2020,the proportion of pregnant women with an appropriate inter-pregnancy interval between the first and second children was relatively low in the monitored areas.The publicity of appropriate inter-pregnancy intervals should be strengthened throughout society,and the guidance of scientific pregnancy preparation should be strengthened for women in preconception and postpartum health care,so that women can establish a scientific concept of pregnancy preparation to promote maternal and infant health.关键词
孕产妇/二孩/生育间隔/影响因素Key words
Pregnant women/The second child/Inter-pregnancy interval/Influencing factor分类
预防医学
