【摘要】 目的 :对项目县妇女分娩前后所接受的卫生服务调查、分析影响住院分娩的因素 ,评价农村初级卫生保健项目的执行情况和效果 ,并提出促进母亲安全分娩的有效措施。方法 :采用分层多阶段随机抽样法获取样本。结果 :产前检查率均在 97.1%以上 ,产前检查地点主要以乡卫生院为主占 53 .1% ,住院分娩率逐年在提高 ,住院分娩地点仍以乡卫生院为主占 40 .6% ,但仍有少数孕妇在家分娩。结论 :由于我国西部 42个项目县的大部分地区较为贫困 ,交通不便等问题 ,仍有一些孕妇在家分娩 ,村接生员仍是主要的接生者。怎样提高住院分娩率 ,保障母亲婴儿健康 ,提高出生人口素质 ,还需加强宣传力度 ,以此来促进贫困地区妇女儿童健康更多还原

【Abstract】 Objective:Analysis and evaluation of health care of pregnancy and delivery of women in 42 project counties were c onducted after launching the primary health care project Methods: Sample was obtained basing on multistage randomly sampling method Ques tionnaires of maternal and child health care were used to collect relative infor mation Results:Most of pregnant women (97 1%) received prenatal care and fifty-three point three percent of pregnant women got prenatal care in the township hospitals Percentage of delivery in hospital increased and 40 6 % of women gave births in the township hospitals Some women still delivered at home Conclusion:Dueing to poor economy and inconvenient traffic , some women had to deliver at home and some midwifes still worked in villages In order to improve maternal and child health,it is necessary to increase delive ry in hospital and relative health education further更多还原