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Congenital disorder of glycosylation type Id (CDG-Id) is due to a variation in the ALG3 gene that results in a defect in the encoded alpha-1, 3-mannosyltransferase. The pregnant woman in this case was 32 years old, G7P1, whose fifth singleton pregnancy had fetal malformations suggested by ultrasound at another hospital. After termination of pregnancy, she came to Obstetrics and Gynecology Hospital, Fudan University for genetic testing, with the result of ALG3 gene variants [NM_005787：c.67C>T (p.Gln23*), Heterozygote, Paternal; NM_005787: c. 1188G>A（p. Trp396*), Heterozygote, Maternal]. In this singleton pregnancy at 21 weeks of gestation, prenatal ultrasound at our hospital demonstrated multiple fetal malformations, including micrognathia, cerebellar vermis absence, cystic occupancy of the posterior cranial fossa, all long bones of the limbs being short, scoliosis and stiffness of the finger joints as the main manifestations. The pregnancy was then terminated at another hospital, and subsequent genetic testing results confirmed that it was also due to ALG3 gene variants. This article focuses on the prenatal ultrasound manifestations and genetic features of CDG-Id, in order to improve the understanding of this disorder. [ABSTRACT FROM AUTHOR]

Objective To explore the characteristics of prenatal diagnosis and neonatal surgery in children with severe congenital lung developmental malformations. Methods There were 10 boys and 2 girls. And they were term ( n = 9) and premature ( n = 3) with a minimal gestational age of 32+5 weeks, a mean birth weight of 3135. 42 gram and a minimal birth weight of 2200 gram. Prenatal ultrasound examination, pregnancy interventios, postnatal clinical characteristics, surgical approaches and pathological results were recorded. Results All of them obtained a prenatal diagnosis with prenatal consultations. The maximal CVR of dynamic monitoring of prenatal ultrasound was 0. 68 -5, the mean congenital pulmonary airway malformation-volume (CVR) of the last ultrasound was 1. 48, 8 cases of thoracic/ abdominal effusion of different degrees and 3 cases of excessive amniotic fluid. Delivery was transferred by transport team through a green channel. There were varying degrees of dyspnea after delivery and 9 cases required respiratory support. The preoperative diagnosis was congenital pulmonary airway malformation (CP AM, n = 6), broncho-pulmonary sequestration ( BPS, n = 4) and congenital lobar emphysema (CLE, n = 2). There were neonatal respiratory distress syndrome ( n = 1 ), persistent pulmonary hypertension ( n = 2) and unilateral tension pneumothorax ( n = 2). Thoracoscopic mini-invasive surgery ( n = 6) and thoracotomy ( n = 6) were performed. One case of postoperative pneumothorax was cured by conservative measures. Another case of pectus excavatum was surgically corrected at an age of 3 years while the remainders recovered well. Conclusion High antenatal CVR for congenital lung developmental malformation and early dyspnea after delivery hint at a high possibility of surgery during neonatal period. Closely monitoring vital signs and respiratory status and choosing appropriate surgical timing may yield a decent prognosis. [ABSTRACT FROM AUTHOR]

Objective To explore the diagnostic accuracy of prenatal imaging (prenatal ultrasound & fetal magnetic resonance imaging) for fetal hypospadias. Methods Retrospective review was conducted for 31 preg- nant women with prenatally diagnosed hypospadias through multidisciplinary consultations at Zhejiang Prenatal Di- agnosis Center from March 2012 to March 2021, including age, gestational week, ultrasound and fetal MRI images. Results Thirty-one pregnant women were diagnosed with fetal hypospadias by prenatal ultrasound with an average age of (29.8 ±4.4) years and an average gestational week of (30.1 ±3.2) weeks, including 4 cases in the second trimester and 27 cases in the third trimester. Among them,22 cases of hypospadias were confirmed postnatally with a diagnostic accuracy of 71.0%. The major ultrasonographic features included 'tulip sign' of external genitalia (n = 19,61.3%), short external genitalia (n=4,12.9%) and ambiguous external genitalia (n=8,25.8%). The diagnos- tic accuracy of tulip sign' for fetal hypospadias was 84.2% (16/19) with a sensitivity of 72.7% and a specificity of 66.7%. Fetal MRI was performed in 15 cases. Major MRI features included short external genitalia (n = 10), 'tulip sign' of external genitalia (n=6), bifid scrotum (n=4), blunt penile tip (n=3), penile curvature (n=2), penos- crotal transposition (n=1) and gender identification (female, n = 1). The accuracy of fetal MRI in prenatal diagno- sis of hypospadias was 85.7% (12/14). Result of amniocentesis hinted at 46,XY and androgen insensitivity syn- drome. It was confirmed as severe hypospadias after induced labor. Conclusion Ultrasonography is the most com- mon diagnostic procedure for fetal hypospadias. And 'tulip sign' is commonly present with a high accuracy. Fetal MRI may boost the accuracy of prenatal diagnosis when prenatal hypospadias is suspected by ultrasonography. [ABSTRACT FROM AUTHOR]

Limb body wall complex (LBWC) is a complex multiple fetal malformation. The prognosis of LBWC is very poor. Early detection by ultrasound doctor is crucial for timely clinical management and termination of pregnancy. A 32-yearold female patient, 23 weeks plus 4 days gestation, underwent fetal ultrasound screening in our hospital. It was found that the fetal spine was curved at the sacrococcygeal region, the abdominal wall muscle layer and the skin continuity were interrupted, the abdominal organs were bulked out, a dark liquid area about 9 mm depth was visible in the abdominal cavity, both feet were in the position of pronation, the left foot showed 6 toes, the umbilical cord was too short, about 49 mm in length, and the extrembryonic body cavity was visible. LBWC may be considered for ultrasound diagnosis. The clinical diagnosis was LBWC after induction of labor. By reporting the case and reviewing the literature, LBWC was analyzed and introduced, so as to improve the basic doctors′ understanding of the disease. [ABSTRACT FROM AUTHOR]

Objective　To investigate the factors causing abnormal insertion of umbilical cord placenta during pregnancy, and to analyze the influence of abnormal insertion of umbilical cord placenta on pregnancy outcome. Methods　A total of 15,771 pregnant women who were examined in the Ultrasound Department of The Second People’s Hospital of Yunnan Province from January 1, 2016 to January 31, 2021 were included in the observation. 879 cases of abnormal insertion ports were pathologically confirmed after delivery and were selected as the study group, and 1 000 cases of normal insertion ports were randomly selected as the control group. Results　Logistic regression analysis suggested multiple pregnancy history （OR = 3.34, P < 0.001）, scarred uterus （OR = 3.54, P < = 0.003）, twin pregnancy （OR = 5.25, P < 0.001）, abnormal placental position （OR = 3.47, P < 0.001）, abnormal placental morphology （OR = 8.52, P = 0.007）, in vitro embryo transfer （OR = 5.06, P < 0.001）, uterine fibroids （OR = 4.86, P < 0.001） were the risk factors for abnormal umbilical cord insertion. In terms of pregnancy outcomes, there was no significant difference between normal umbilical insertion and marginal umbilical insertion( P >0.05), but there was significant difference between normal umbilical insertion and velamentous umbilical insertion （ P < 0.001） . Conclusion　Multiple pregnancy history, scar uterus, twin pregnancy, abnormal placenta position, abnormal placenta morphology, in vitro embryo transfer, uterine fibroids are the high risk factors for abnormal umbilical cord insertion. For pregnancy with high-risk factors, doctors should be alert to the insertion location during prenatal ultrasound, so as to improve the prenatal diagnosis rate of abnormal insertion of the insertion mouth, especially the velamentous-like umbilical cord insertion, and improve clinical pregnancy and perinatal outcomes. [ABSTRACT FROM AUTHOR]

Objective: To explore the effect of prenatal glucocorticoids therapy on hearing screening in premature infants Methods: Data of 693 preterm infants with gestational age of 24-34+6weeks admitted to theJiangxi Maternal and Child Health Hospital within 24 h after birth from June 2022 to June 2023 were retrospectively analyzed. The infants were divided into the DXM group （544 cases） and the non-DXM group （149 cases） based on whether dexamethasone （DXM） was administered prenatally. General data of preterm infants and parturients in two groups were compared, and the effects of different doses and timing of DXM on hearing screening were analyzed. Results: In the terms of preliminary hearing screening. the pass rate of initial hearing screening in DXM group was significantly higher than that in non-DXM group（53.9% vs 35.6%）, with statistical significance（ P <0.05）. Further subgroup analysis showed that the passing rate of preliminary hearing screening in adequate prenatal dose（=4 doses） DXM group（58.1%） was significantly higher than that in insufficient group（48.0%） and excessive group（42.4%）, with statistical significance（ P <0.05）. Administering DXM 48 hours to 7 days before birth resulted in a higher pass rate for initial hearing screening compared to administration <48 hours or >7 days before birth （56.4% vs. 48.6%）, with a statistically significant difference （P < 0.05）. In terms of re-hearing screening, the pass rate of secondary hearing screening was not significantly correlated with DXM treatment（ P >0.05）, but was significantly correlated with gestational age, birth weight, hospital stays, invasive mechanical ventilation, and common neonatal diseases（bronchopulmonary dysplasia, respiratory distress syndrome）（ P <0.05）. Among them, bronchopulmonary dysplasia was an independent risk factor forsecondary hearing screening referral（ P <0.05）. Conclusion: A single course of adequate dexamethasone use within 48 h-7 d of prenatal has a positive effect on the preliminary hearing screening of preterm infants., Competing Interests: The authors of this article and the planning committee members and staff have no relevant financial relationships with commercial interests to disclose., (Copyright© by the Editorial Department of Journal of Clinical Otorhinolaryngology Head and Neck Surgery.)

Objective: To analyze the characteristics of prenatal ultrasound in twin reversed arterial perfusion sequence (TRAPS). Methods: Retrospective analysis was conducted on the ultrasound characteristics of 22 cases of the TRAPS diagnosed in Northwest Women and Children′s Hospital from January 2015 to October 2020. Results: ①There were 13 cases with no heart and no head, no upper limbs, only part of the spine and lower limbs; 5 cases with head but no heart. The halo of skull or part of skull, limbs and spine could be seen, and no heart structure was found. The intracranial structure of these 5 cases was not clear or only part of brain tissue could be seen, or there were serious intracranial malformations; 4 cases of unformed centerlessness showed mass echo of irregular tissue without body structure. ② Concomitant deformity of centerlessness: 13 cases were accompanied with systemic edema, including 4 cases of lymphangioma, 1 case of whole forebrain, 1 case of forebrain with omphalocele, and 2 cases of hydrocephalus. ③In those pump twins, all of 22 cases were found fetal heart by ultrasound. One case showed NT thickening, double lung echo enhancement, intracardiac structural disorder, cardiothoracic ratio increase, pleural effusion, single umbilical artery, and no obvious abnormality was found in other fetuses. ④Color Doppler showed that those fetuses without cardiac malformation had the umbilical artery blood flow and reverse into the abdominal cavity. Conclusions: Prenatal ultrasound is an important means of TRAPS diagnosis. The early diagnosis of TRAPS is helpful to determine the prognosis and provide reliable reference for the treatment. [ABSTRACT FROM AUTHOR]

Objective: To discuss the risk factors, clinical characteristics, diagnosis methods and outcome of uterine rupture during pregnancy in primipara. Methods: Restrospective analysis was done on 11 primiparas with uterine rupture during pregnancy admitted to Tongji Hospital Affiliated to Huazhong University of Science and Technology from March 2010 to June 2018. Results: The age of the 11 patients was 21-36 years old and the gestational age was 12-39 weeks. There were 10 cases of previous uterine surgery, 4 cases of incomplete rupture and 7 cases of complete rupture. Rupture of uterus was located in the lower segment in 1 case, uterine body and fundus in 5 cases, uterine horn in 5 cases. 8 cases were diagnosed by B-scan ultrasonoprapny and 3 were diagnosed by surgery. All the patients underwent cesarean section, and one of them had a hysterectomy. There was no death in the patients and 4 fetus survived. Conclusions: The risk factors of uterine rupture during pregnancy are mainly related to uterine surgery, and the rupture site is different from patients with previous cesarean section history, so the clinical manifestations and diagnosis and treatment of patients need to be differentiated from patients with previous cesarean section. Patients and medical staff should strengthen the awareness of early risk screening to reduce fetal death and avoid the occurrence of more serious complications. [ABSTRACT FROM AUTHOR]

Objective：To investigate the role of chromosome karyotype analysis and single nucleotide polymorphism array (SNP-array) in prenatal diagnosis of abnormal fetuses. Methods：From January 1, 2017 to December 31, 2018, 278 cases of pregnant women with fetal ultrasound abnormalities who received amniotic fluid puncture at our hospital were collected, and chromosome karyotype analysis and SNP-array were performed simultaneously. Results：The karyotype of amniotic fluid was analyzed in 278 cases, and the culture success rate was 99.28% in 276 cases. The positive detection rate of chromosome karyotype analysis was 8.33% (23/276). The positive detection rate of SNP-array was 17.03% (47/276). The difference of positive detection rate between the two test methods was statistically significant ( χ2 =9.424, P=0.002). In the cases with normal karyotype, the positive detection rate of SNP-array was 11.46% (29/253), among which the detection rate of pathogenic copynumber variations (CNVs) was 2.76% (7/253), variants of unknown significance (VOUS) was 8.70% (22/253). The positive CNVs detection rate in abnormal fetus with NT thickening, bones, muscles and cardiovascular system is highest, followed by fetus with urinary tract malformation and abnormal single soft ultrasound index. No pathogenic CNVs were detected in fetal facial abnormalities, digestive system abnormalities, respiratory system abnormalities, etc. Conclusions：SNP -array technique has certain advantages in the detection rate of abnormal results, while chromosome karyotype analysis can make up for the deficiency of SNP-array in chromosome balance translocation and inversion. Chromosome karyotype analysis combined with SNP-array technique has good application value and space in ultrasonic abnormal fetus. [ABSTRACT FROM AUTHOR]

Objective: To analyze the characteristics of ultrasound images of conjoined twins malformation in early pregnancy, and to improve the accuracy of ultrasound diagnosis of conjoined twin-fetuses. Methods: This is a retrospective analysis of 16 cases of conjoined twin-fetuses diagnosed by ultrasound in Northwest Women and Children′s Hospital and confirmed by follow-up. Two-dimensional ultrasound was used to observe the connection site, organ sharing and fusion degree of conjoined fetuses. Results: In 16 conjoined twins, there were 11 cases （68.75% ） of parapagus dicephalus, 7 cases of thoracoperitoneal joint, 2 cases of thoracoperitoneal and sacrococcygeal joint, and 2 cases of only abdominal joint. In 4 cases（25.00%）of craniopagus，there were 2 cases of combined thoracoperitoneal joint，2 case of head joint；1 case （6.25%）of ischiopagus. Among all the cases, 5 cases were combined with other malformations, including 2 cases with neck hydrocyst tumor （1 case twins combined heart malformation）, 1 case with leafless whole forebrain, 1 case with upper limb radial absence, and 1 case with small jaw. Conclusions: For conjoined twin fetuses，diagnosis and termination of pregnancy should be done as soon as possible. Ultrasonography can directly show the position, common organs, degree of fusion and concomitant deformity of the conjoined fetus in the amniotic cavity，which is of great significance for judging the prognosis [ABSTRACT FROM AUTHOR]

Objective To study the sonographic characteristics of anus and anal canal by measuring the area and length of the anus and anal canal，and to explore the normal value range of anal area and the length of anal canal in different gestational weeks and the correlation with gestational weeks. To explore the value of anus and anal canal in prenatal diagnosis of anorectal malformation and differential diagnosis of fetal pelvic organ malformation. Methods From 2017 to 2019， 4,523 pregnant women with 22-38 gestational weeks and routine prenatal ultrasonography meeting the criteria were selected as the subjects. The area of fetal anus and the length of anal canal were measured. Based on gestational age， the pregnant women were grouped，and statistical analyses were carried out. Results The fetal anus presented a “ target ring sign” in the posterior perineal body in the transverse section of the perineum. Isoechoic perineum was found between the“target ring sign”and the vulva. The anal canal showed an "equal sign" echo between the ventral sacrococcygeal spine and the bladder on the sagittal section. A tubular hypoecho was found below the rectum filled with fluid on the coronal section. The anal canal extended to the skin， forming sunken anal crypts in a "V" or "W" shape. There were 4,523 fetuses in the normal group， 4，203 of which showed a "target ring sign" in the anus and an "equal sign" in the anal canal， with a display rate of 95-98%. At 20-34 weeks of gestation， the images of the anus and anal canal were stable. In the abnormal group， the "target ring sign" and "equal sign" disappeared， and the“equal sign”interrupted continuously. The area of fetal anus and the length of anal canal were included in the statistical analysis. The area of fetal anus and the length of anal canal were positively correlated with gestational age （ = 0.965， 0.923， < 0.05） . Conclusion The normal ultrasonic manifestation of the fetal anus shows a "target ring sign"， while the ultrasonic manifestation of the anal canal presents an "equal sign". The above images have high display rate and stable display， and can be used as a method for prenatal screening of anorectal malformations and differential diagnosis of pelvic abnormalities. [ABSTRACT FROM AUTHOR]

Copyright of Imaging Science & Photochemistry is the property of Imaging Science & Photochemistry Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Forensic Medicine / Fayixue Zazhi is the property of Journal of Forensic Medicine Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To investigate the correlation between the titer of IgG blood group antibody and hemolytic disease of newborn (HDN) in type O pregnant women. Methods: Selected 432 cases of type O Rh (D) positive pregnant women and neonate from January 2013 to December 2015 in our hospital, maternal serum IgG antibody titer of observation, incidence of newborn HDN and analysis correlation. Results: In 432 cases of pregnant women, serumIgG antiA (B) titer is greater than or equal to 1:64 in 189 cases, accounting for 43.75%, with the IgG antiA (B) titer increased, the proportion of pregnant women gradually reduced. With the increase of pregnancy, pregnant women's serum A anti IgG A (B) titer gradually increased, the serum levels of IgG anti A (B) in each group was statistically significant difference (P<0.05). With the increase of age,pregnant women's serum A anti IgG A (B) gradually increased, the serum levels of IgG anti A (B) in each group was statistically significant difference (P<0.05). IgG (A) (B) titer increased, the incidence of HDN was significantly higher, there were statistically significant differences in each group (P<0.05). The grade correlation test showed thatA (B) in the serum of pregnant women was positively correlated with HDN (r=0.732, P<0.05). Conclusion: The main cause of neonatal hemolytic disease is the O blood group antibody of IgG type pregnant women,which is positively correlated with the hemolytic disease of the newborn, which is worthy of clinical attention. [ABSTRACT FROM AUTHOR]

Copyright of Progress in Modern Biomedicine is the property of Publishing House of Progress in Modern Biomedicine and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To explore the value of cadiovascular profile score (CVPS)to estimate fetal cadiac insufficiency. Methods: All pregnant women in ultrasound department, Tianjin Central Hospital of Gynecology Obstetrics proceeded routine examinations between Jan. 2013 and Jan. 2016. Fetal cardiac insufficiency (enlarged heart and myocardial contraction fatigue) were found out. CVPS were recorded. Meanwhile fetal cadiography were performed to define if congenital heart disease were accompanied. All cases divided in two groups based on the follow up results: live birth group and adverse pregnancy outcome group. Results: 38 cases of fetal cardiac insufficiency were found out. 35 cases were singleton pregnancy. 3 cases were twins pregnancy. 12 cases were in live birth group (all of them were singleton pregnancy), 10 cases were healthy children, 2 cases were accompanied by congenital heart disease: 1 case was mild pulmonicstenosis, 1 case was tetralogy of Fallot. 21 cases were in adverse pregnancy outcome group. 18 cases were singleton pregnancies: 9 cases were intrauterine fetal demise, 2 cases were stillbirth, 7 cases were induced labour: 5 cases progressed to heart failure because of CVPS declined continuously and fetal cadiac insufficiency worsen, 2 cases were accompanied by fatal congenital heart disease. 2 cases of twins pregnancy were intrauterine fetal demise because of twin to twin transfusion syndrome (TTTS). 1 case of twins pregnancy was induced labour because of hydrocephaly and intracranial hemorrhage. 5 cases were loss to follow up. CVPS of live birth was 7.62 (7.00) and CVPS of adverse pregnancy outcomes was 5.67 (3.50). Statistics analysis: ROC curve analysis, area under ROC: 0.823, cut off value was 6.5, P=0.002, difference was statistically significant. The score of umbilical artery doppler spectrum, vein doppler spectrum and cardiac valve function in two groups were significant difference (P<0.05). Conclusions: CVPS declined when fetal cardiac insufficiency worse, dangerous cut off value of CVPS was 6.5, CVPS is an effective index for continuous dynamic assessment of fetal cardiac insufficiency. The score of umbilical artery doppler spectrum, vein doppler spectrum and cardiac valve function were valuable to predict adverse pregnancy outcomes. [ABSTRACT FROM AUTHOR]

Objective: By means of ultrasound diagnosis of congenital oaf fetal karyotype analysis, we summarizes the relationship between the chromosomal abnormalities and deformed parts and number of deformity, providing the basis for prenatal diagnosis. Methods: From January 2009 to December 2013 in our hospital an amniocentest or cord blood puncture were performed by indications for prenatal diagnosis of congenital malformations, 576 cases of chromosome karyotype analysis of fetus, were investigate the relationship between the congenital oaf and chromosomal abnormalities. Results: The success rate of cell culture successfully are 551 cases (95.66%); chromosomal abnormalities in 90 cases (16.33%), with 63 cases often dyed anomaly of chromosome abnormality (70.00%); sex chromosome abnormality 25 cases (27.78% of chromosomal abnormality); triploid in 1 case; marker chromosomes in 1 case. Freak of chromosome abnormalities, the mainly types are cardiac malformation 31 cases (34.44%), skin edema 30 cases (33.33%), abnormal face and neck 21 cases (23.33%), abnormal brain structure 20 cases (22.22%), and the digestive system malformation 11 cases (12.22%). Conclusions: Congenital oaf has high incidence of chromosomal abnormalities. For ultrasound tips for congenital oaf, prenatal diagnosis intervention should be made to avoid the chromosome abnormalities in children with birth. [ABSTRACT FROM AUTHOR]

Objective: To understand the prevalence of prenatal supplementations of iron, iron-containing multi-micronutrients (IMMN) and antianemic Chinese patent medicines (ACPM) and associated factors in women in Shaanxi province. Methods: A sample of 28 367 childbearing-age women who gave birth during 2010-2013 and had specific information of the prenatal nutrients supplementation were recruited using stratified multistage cluster random sampling in Shaanxi province. The information about their basic characteristics and prenatal supplementation of nutrients were collected by a questionnaire survey. Descriptive analysis method was used to analyze the intake rate of iron, IMMN and ACPM during each period of pregnancy, and logistic regression model was used to identify associated factors. Results: The overall prevalence of prenatal iron, IMMN and ACPM supplementation was low (28.99%), and the intake rate of iron was the lowest (5.33%). The prevalence of prenatal supplementation of iron, IMMN and ACPM were lower before pregnancy and in the first trimester than in the second and third trimester. The intake rates for consecutive 2 periods were very low (all were lower than 2.00%). The intake rates of iron, IMMN and ACPM significantly increased year by year. Women living in central Shaanxi had relatively high intake rates of iron (7.22%) and IMMN (16.55%), and women in southern Shaanxi had relatively high intake rate of ACPM (18.50%). The results of logistic regression analysis showed that higher educational level ( OR =1.920, 95 %CI : 1.617-2.279), antenatal care times≥6 ( OR =1.832, 95 %CI : 1.604-2.091), etc . were the positive factors for iron intake, and these positive factors were similar to those for IMMN intake. Additionally, rural residence was the negative factor for IMMN intake (compared with urban residence, OR =0.872, 95 %CI : 0.788-0.966). Conversely, higher educational level ( OR =0.855, 95 %CI : 0.746-0.979), higher household income ( OR =0.864, 95 %CI : 0.796-0.938) were negative factors for ACPM intake, and rural residence was its positive factor ( OR =1.285, 95 %CI : 1.141-1.447). Conclusions: The prevalence of prenatal supplementation of iron, IMMN and ACPM were low in women in Shaanxi, especially the intake rate of iron was the lowest. The prophylactic iron supplementation before pregnancy or in the first trimester was rare. Measures should be taken to improve the prenatal supplementation of iron in Shaanxi and to standardize the clinical use of ACPM.