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我国孕产妇产时保健服务现状及影响因素分析 被引量:5

Investigation on the current situation of delivery care and its influencing factors in Chinese women
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摘要 目的:了解我国孕产妇产时保健利用状况,分析其影响因素,为孕产妇产时保健工作提供依据。方法:采用多阶段随机抽样的方法,根据地域分布在全国范围内抽取山东、河南、甘肃等3个省,在每个省按照经济发展水平随机抽取3个地级市,于2010年8月在每个地级市的计划免疫接种点随机抽取2009年7~12月分娩的妇女作为调查对象。利用SPSS13.0建立数据库并进行数据的录入和分析。结果:共调查1945例妇女,住院分娩率为98.61%,居住在农村的孕产妇住院分娩率为98.04%,城市的孕产妇住院分娩率为99.18%;住院分娩的妇女中顺产率为65.95%(农村为73.68%、城市为58.37%),剖宫产率为33.42%(农村为22.31%、城市为47.85%),难产者占0.63%(农村占0.95%、城市占0.31%)。多因素分析结果显示,影响住院分娩的因素主要有民族和家庭年收入,导致剖宫产的因素主要有居住地、活产生育数、文化程度。结论:孕产妇产时保健状况有待提高,应加强孕产期健康宣传,提高住院分娩率,降低剖宫产率。 Objective: To investigate the current situation of delivery care services and the influencing factors in Chinese women to propose the strategy and policy recommendations to increase the utilization and coverage of the services. Methods : A multi - stage random cluster sampling method was conducted in the country. We randomly sampled three prefecture - level cit- ies in each of three selected provinces of Shandong, Henan and Gansu in accordance with the economic development levels, and then randomly selected 2,021 women who had given birth between July and September in 2009 from the EPI vaccination services and collected the data with a self- designed questionnaire. The data were analyzed with SPSS13.0. Results: The data from 1,945 valid respondents were analyzed. The rate of hospital delivery was 98.61%. Among 1,918 women of hospital de- livery, the rate of normal delivery was 65.95% (73.68% in rural women and 58.37% in urban women), the rate of caesare- an section was 33.42% (22.31% in rural women and 47.85% in urban women) , and the rate of delivery with complications was 0.63% (0.95% in rural women and 0.31% in urban women). The major influencing factors of hospital delivery were nationality and the yearly income of the family. The influencing factors of caesarean section included the place of residence, the number of existing children and the education levels of women. Conclusion : The delivery care services have been improved in the the studied areas. Health education should be strengthened in the perinatal care services in order to increase the rate of hospital delivery and decrease the rate of caesarean section.
出处 《中国计划生育学杂志》 2013年第2期94-97,共4页 Chinese Journal of Family Planning
基金 教育部人文社会科学研究项目基金(09YJCZH096)
关键词 孕产妇 产时保健 影响因素 住院分娩 生产方式 Maternal Delivery care services Influencing factors Hospital delivery Delivery pattern
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