流动人口孕产妇住院分娩现状及影响因素

目的 了解全国流动人口孕产妇住院分娩现状及影响因素,为提高流动人口孕产妇住院分娩率及相关政策的制定提供依据。方法 选取2012年国家流动人口动态监测数据库中流动后有生育现象的已婚流动育龄妇女22 774人及其生育的36 105名≤18岁子女为研究对象,对其分娩现状及其影响因素进行调查。结果 在所调查的36 105名≤18岁流动人口子女中,住院分娩的有32 997人,住院分娩率为91.40%,在家分娩的2 944人,占8.15%,在其他地方分娩的164人,占0.45%;单因素和logistic回归分析结果表明,少数民族孕产妇的住院分娩率低于汉族,随着流动孕产妇教育程度和家庭月收入的提高住院分娩率随之提高,随着孩次的增高住院分娩率随之下降;不符合政策生育、在户籍地分娩、跨省流动的流动孕产妇住院分娩率较低。结论 民族、教育程度、家庭月收入、是否符合政策生育、孩次、出生地点、流动范围是流动人口孕产妇住院分娩率的影响因素。

Hospital delivery and its influencing factors among migrant pregnant women

Objective To investigate hospital delivery rate and its influencing factors among migrant pregnant women and to provide evidences for making policy to increase hospital delivery rate in migrant pregnant women.Methods The data of the study were collected from dynamic monitoring survey on migrant population all over China in 2012.Totally 22 774 migrant pregnant women and their 36 105 children under eighteen years of age were included in the study.Results Of all the children surveyed,32 997 were born in hospitals and the hospital delivery rate was 91.40%;2 944(8.15%)were born at home and 164 were born in other places(0.45%).The results of univariate and multivariate logistic regression analyses demonstrated that the hospital delivery rate was lower in minority migrant pregnant women than that in the Han migrant pregnant women.The hospital delivery rate was improved with the increment of maternal education and family income and decreased with the order of the newborn.The hospital delivery rates were lower in the migrant pregnant women with the pregnancy not conforming to family planning policy,having the delivery at the place of domicile,and migration across various provinces.Conclusion The main factors influencing the hospital delivery rate among migrant pregnant women were nationality,educational level,family income,whether with the pregnancy not conforming to family planning policy,birth order of the newborn,delivery place,and migration scope.