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目的了解云南省施甸县孕产妇住院分娩率变化情况及其影响因素,为进一步巩固、提高住院分娩率,降低孕产妇死亡率和婴儿死亡率提供科学依据。方法运用χ2检验和趋势χ2检验等统计学方法,对施甸县妇幼卫生年报和2010年施甸县产妇基本情况调查表的相关资料进行分析。结果十年来施甸县住院分娩率不断提高,特别是2007-2010年新一轮“降低孕产妇死亡率、消除新生儿破伤风”项目(“降消”项目)和“新型农村合作医疗”(“新农合”)的实施,住院分娩率由59.37%提高到91.21%,提高了31.84%。孕产妇的家庭经济、“新农合”参合情况、居住环境、受教育程度、产前检查情况是影响住院分娩的主要因素。结论施甸县住院分娩率逐年提高,但还必须加大“降消”项目实施力度,积极消除阻碍因素,不断巩固、提高“新农合”参合率等综合措施,才能逐步实现住院分娩率100%目标。
Objective To understand the changes of hospital delivery rate and its influencing factors in maternity women in Shidian County, Yunnan Province, and to provide scientific evidence for further consolidation, improvement of hospital delivery rate, reduction of maternal mortality and infant mortality. Methods The χ2 test and trend χ2 test were used to analyze the data of MCH in Shidian County and the questionnaire of basic situation of maternal in Shidian County in 2010. Results The hospital delivery rate in Shidian County has been continuously increasing in the past ten years, especially in the new round of 2007-2010 project of “reducing maternal mortality, eliminating neonatal tetanus” and “new type” Rural Cooperative Medical System “(” NCMS “), the hospital delivery rate increased from 59.37% to 91.21%, an increase of 31.84%. Maternal family economy, ”NRCMS “ participation, living environment, education, prenatal examination is the main factor affecting hospital delivery. Conclusion The delivery rate of hospitalization in Shidian County is increasing year by year. However, it is necessary to intensify the implementation of the project of ”eliminating losses“, eliminate the obstruction factors actively, consolidate and improve the participation rate of ”NRCMS Hospital delivery rate of 100% goal.