农村孕产妇围产保健影响因素的逐步回归分析

^A STEPWISE REGRESSION ANALYSIS ON THE INFLUENTIAL FACTORS OF HEALTH CARE OF PREGNATNT AND LYING-IN WOMEN IN COUNTRSIDE.

对陕西省周至县和青海省乐都和互助县１９９２年孕产妇围产保健调查资料，用逐步回归的分析方法分析了影响孕妇产围产保健服务利用的因素，结果：①孕产妇掌握的保健知识条数越多，计划内妊娠和孕产妇文化程度高，有利于产前检查率的提高。②孕产妇文化程度高、孕产妇丈夫的文化程度高、现有子女数少和有医疗保险，有利于住院分娩率的提高。③有产前检查、孕妇掌握的保健知识条件数多、居住地理环境好、总怀孕次数少和计划内妊娠有利于新法接生率的提高。④产前检查、丈夫文化程度和孕妇自己有经济来源，有利于产后访视。⑤胎盘娩出方式、孕期发现异常和由家至乡医院的距离则影响产后出血率。

On the surveying pregnant and lying-in women who delivered in 1992 in Ledu and Huzhu of Qinghai province,we analyzed the influential factors of health care service utilization during prenatal period by stepwise regression.The results showed that:1.The more knowledge pf health care known by pregnant womon and higher level of cultural,the higher rate of prenatal care,planned pregnancies had more pronatal care as well.2.Having had prenatal care, hospital delivery rate was higher than that had no prenatal care. The more free medical care or the higher the cultural level of prgnant women and their hushands,the higher rate of hospital delivery, The less the children,the higher rate of hospital delivery.3.Times of prenatal care,health care knowledge known by prgnant women,good geograhpic area of inhabitation,less pregnancies and planned pregnancy had positive correlation to sterilized delivery.4.Post partum vist was closely related to prenatal care,hushands’cultural level,income of prgnant women’s famity.5.Abnoramal delivery of placenta,abnormalities found during pregnancy,distance form home to the nearest township hospital were infuence the factors of PPH.