重庆市农村地区产时保健现状及影响因素分析

Analysis on delivery care status and effect factors of pregnancy in rural area in Chongqing

目的:了解重庆市农村地区孕产妇产时保健利用状况,分析其影响因素,为农村地区产时保健工作的开展提供对策和依据。方法:采用分层整群抽样的方法调查2006年生育的产妇1623例,运用SAS8.2软件包对资料进行统计分析。结果:住院分娩率为92.98%,在家分娩率为6.28%。在1509例住院分娩的产妇中,顺产占60.38%,剖宫产占39.25%,难产占0.37%。未住院分娩的主要原因是经济困难占44.66%、来不及(急产)占32.04%、没必要去医院11.65%、交通不便2.91%。多因素分析影响住院分娩的因素主要有产妇年龄、是否做过产检、是否参加母婴保健保偿制(孕管卡);影响剖宫产的因素主要有是否有孕管卡、已有子女个数、是否做过5次以上产前检查。结论:该地区产时保健状况有待提高,应加强孕产期健康宣教,提高住院分娩率,降低剖宫产率。

Objective:To explore delivery care status of pregnancy in rural area in Chongqing,analyze effect factors of health care.Methods:1 623 pregnant women were enrolled by stratified cluster sampling.The data were performed on SAS 8.2.Results:The rate of hospital delivery was 92.98% and the rate of home delivery was 6.28%.Among 1 509 women of hospital delivery, the percentages of normal delivery,caesarean section and delivery with complications were 60.38%, 39.25%, 0.37%, respectively.The mainly reasons of home delivery were financial difficulty (44.66%), emergency delivery (32.04%), the thought that hospital delivery was unnecessary (11.65%), traffic inconvenience (2.91%).The major effect factors of hospital delivery rate were pregnant age, taking prenatal check-up and participating maternal infant prepayment scheme, the mainly effect factors of caesarean section rate were having maternal care card, number of existing children and taking five times prenatal check-up.Conclusion:The delivery care has been improved in the area.Health education should be strengthened during the maternal care in order to increase the rate of hospital delivery and decrease the rate of caesarean section.