Objective: To identify problems and demands for antenatal care (ANC) among pregnant women in different trimesters of pregnancy in Shanghai for optimizing ANC service during the epidemic of COVID-19. Method: s Organized by maternal and child health care institute in the 16 districts of Shanghai, a cross sectional study was conducted among pregnant women who came to pregnancy registration in the community health centers or attended ANC in midwifery hospitals from February 7 to February 12, 2020. Consented participating women completed a semi-structured online questionnaire voluntarily. Data was analyzed using frequency,chi-square test and scoring. Result: s A total of 2 002 valid questionnaires were collected from 183 community health centers and 67 midwifery hospitals. About 94.6%(1 894/2 002) of the pregnant women worried about being infected during the COVID-19 epidemic, and 14.7% (294/2 002) demanded for psychological consultation. Time-lapse appointments for ANC were requested by 87.7% (1 756/2 002) of the participants for avoiding presenting themselves in people-density places. Compared with other pregnancy trimesters, pregnant women in the second trimester were more willing to reduce the frequency of ANC (35.2% versus 39.5% versus 48.1%, P<0.01). Compared with multiparas, primiparas were more willing to have online consultation and guidance (49.2% versus 63.8%, P<0.01). Regarding the needs for health knowledge on COVID-19, personal protection against 2019 novel coronavirus (2019-nCoV) was the most concerned for pregnant women, and 71.0% (1 421/2 002) of them preferred to obtain knowledge through health applications, official Weibo and WeChat. Conclusions: Pregnant women in Shanghai critically concern about the risk of 2019-nCoV infections, and highly demand knowledge and measures on prevention and protection from COVID-19. They ask for having time-lapse appointments for ANC and online access to health information and services. Maternal and child care institutes should understand the demands of pregnant women, optimize the means of ANC service, and provide tailored and accessible health education and service for the safety of mother and child.
目的： 调查上海市妊娠早、中、晚期各期孕妇在新型冠状病毒肺炎流行期间在孕产期保健服务中存在的问题和需求。 方法： 2020年2月7日至2月12日期间，由上海市16个区级妇幼保健所组织，在社区卫生服务中心及助产医疗机构采用横断面调查方法，连续招募前来产前检查（产检）的孕妇，由孕妇自愿完成电子问卷。数据分析采用频率、χ(2)检验和赋值评分等方法。 结果： 本次调查在183家社区卫生服务中心和67家助产医疗机构共获得有效问卷2 002份。调查发现，94.6%（1 894/2 002）的孕妇担心在新型冠状病毒肺炎流行期间被感染，14.7%（294/2 002）的孕妇认为自己需要心理减压服务；87.7%（1 756/2 002）的孕妇要求"分时段预约孕产妇避免人群聚集"。相比于孕早期和孕晚期孕妇，孕中期孕妇更希望减少产检次数（分别为35.2%、39.5%、48.1%，P<0.01）；相比于经产妇，初产妇更愿意增加远程咨询和指导（分别为49.2%、63.8%，P<0.01）。有关新型冠状病毒肺炎流行期间的保健知识，孕妇对"孕产期预防新型冠状病毒感染的个人防护"需求最高（4.40分），且71.0%（1 421/2 002）的孕妇希望通过健康类App、官方微博和微信公众号来获取相关知识。 结论： 上海市的孕妇对新型冠状病毒感染风险存有担忧，且高度关注相应的防护措施；孕妇要求分时段预约产检，且希望能使用线上途径获得健康信息和保健服务。妇幼保健机构应对接孕妇需求，优化服务内容和服务模式，提供相应的健康教育知识和保健服务，保障母婴安全。.
Keywords: 2019 novel coronavirus; Antenatal care; Demands; Knowledge; Pregnant women.