我县交通不便,是个偏僻的穷山区.几年来,我所从抓提高住院分娩率入手,又相继开展了婚前检查、早孕建卡、产前咨询、科学接生和孕产妇保健的系统管理,并试行了以妇幼保健合同制为基础的农村孕产妇保健保偿制,促进了产科质量的不断提高.住院分娩率从1979年的29%提高到1987年的87.9%,1988年1～6月份已上升到88.03%.三年来无?会阴破裂及子宫破裂,无胎位性难产导致的产妇死亡、无产褥热的发生. In recent years, I started to improve the delivery rate of hospital delivery, but also have carried out the pre-marital examination, early pregnancy card, prenatal counseling, scientific delivery and maternal health system management, and Trial of maternal and child health contract system based on maternal health insurance system in rural areas, and promote the continuous improvement of the quality of obstetrics.Hospital delivery rate increased from 29% in 1979 to 87.9% in 1987, January to June 1988 Rose to 88.03% .In the past three years, there were no episodes of perineal rupture and uterine rupture, maternal death without fetal distress, and unproductive fever.