【摘要】 通过对我国西部的新疆、青海、甘肃、宁夏和贵州5省40个卫生部—儿童基金会综合试点项目县7259名妇女有关住院分娩的资料分析,结果发现:被调查的妇女住院分娩率低,仅为37.l％。对影响住院分娩的因素进行Logistic回归分析结果表明:妇女的民族、受教育年限、胎次、产前检查次数、家庭收入来源、家庭经济状况、卫生习惯及住院分娩费用;村医观念、有无行医执照;乡卫生院有无向上级医院转诊能力、村与乡的距离等12个因素影响妇女的住院分娩。建议在当地通过开展多种形式的健康教育,转变传统观念,增强安全分娩意识,同时加强对接生员的培训,以及建立并完善危重孕产妇转诊制度来改善目前西部贫困地区孕产妇保健及住院分娩的状况,提高住院分娩率,从而达到降低孕产妇死亡率,提高妇女健康水平。更多还原

【Abstract】 This research is base on the analysis of the data of 7 259 women in forty MOH - UNICEF project counties of Xinjiang,Qinghai.Gan-su.Ningxia and Guizhou.The results showed that the proportion of women delivering in hospital was only 37.1% . Logistic Regression analysis found that there were twelve factors which influenced the women attending hospital delivery, these factors were the nationality of woman, educational level of woman,the times of pregnancy, the times of antenatal examination, sources of family income,economical level of family, hygienic habit, cost of delivering in hospital, the village clinical doctors’ attitude toward safe delivery and whether he had licenses practising medicine,the ability of township hospital transferring the women to high level hospital, the distance between village and country, etc. In order to increase the proportion of hospital delivery in west poor rural areas > we suggest developing health education to change traditional conceptions, strengthening the training of midwives,establishing and improving the transferring system of high risk pregnant and lying-in women. We hope these measures could reduce the maternal mortality rate and improve female health statue in west poor rural areas.更多还原