【摘要】 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。更多还原

【Abstract】 Objective:To understand the utilization status of intrapartum health services of pregnant women in rural areas of Rongchang county,Chongqing city,analyze the effect factors,provide a basis for the development of intrapartum health works in rural areas.Methods:Stratified cluster sampling method was used to investigate 545 rural women who deliveried in the hospital from April to December in 2008,SAS 8.2 software was used to analyze the data statistically.Results:The rate of hospital delivery was 98.9%.Among 539 parturient women adopting hospital delivery,the proportions of vaginal delivery and cesarean section were 57.0% and 43.0%,respectively.6 women deliveried in their home,3 women were emergency delivery,2 women had financial difficulty and 1 women thought hospital delivery was not necessary.The proportions of primiparous women and multiparous women were 60.7% and 39.3%,respectively.Multi-factor logistic regression analysis showed that the effect factors of cesarean section included educational level of parturient women,the number of children and the times of prenatal examination(more than 5 times).Conclusion:The intrapartum health status in rural areas of Rongchang county should be improved,propaganda and education during pregnancy should be enhanced to reduce the rate of cesarean section.更多还原