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目的:了解重庆市荣昌县农村地区孕产妇产时保健服务利用状况,分析其影响因素,为农村地区产时保健工作的开展提供参考依据。方法:采用分层整群抽样的方法调查了2008年4～12月分娩的农村妇女545名,运用SAS 8.2软件包对资料进行统计分析。结果:住院分娩率为98.9%,在539名住院分娩的产妇中,阴道分娩占57.0%,剖宫产占43.0%。6例在家分娩,其中3例因生得很快没时间去医院,2例没有足够的钱,1例认为没有必要去医院。首次怀孕的产妇占60.7%,有2个及以上小孩的占39.3%。多因素分析影响剖宫产的因素主要有:产妇的文化程度、已有小孩个数、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,降低剖宫产率。
Objective: To understand the status of maternal health services in rural areas of Rongchang County in Chongqing and analyze its influencing factors, which can provide reference for the development of maternity health care in rural areas. Methods: Stratified cluster sampling method was used to survey 545 rural women who gave birth from April to December in 2008, and the data were analyzed by SAS 8.2 software package. Results: The rate of hospital delivery was 98.9%. Among 539 mothers giving hospital delivery, vaginal delivery accounted for 57.0% and cesarean section accounted for 43.0%. 6 were delivered at home, 3 of whom did not have time to go to the hospital due to their birth, 2 had insufficient money, and 1 did not consider it necessary to go to the hospital. The first pregnancy of pregnant women accounted for 60.7%, with two or more children accounted for 39.3%. Multivariate analysis of factors affecting cesarean section are: maternal education, the number of children have been, have done more than 5 prenatal care. Conclusion: The status of occupational health in this area needs to be improved. Health education in pregnancy should be strengthened to reduce the rate of cesarean section.