母亲安全分娩状况分析

目的 通过1999～2002年卫生部-联合国儿童基金会《农村初级卫生保健项目》的项目县妇女分娩前后所接受卫生服务调查、分析影响住院分娩的因素及各年统计数据的比较，来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。并采取问卷的形式进行调查。结果 产前检查率占97．1％，检查地点仍以乡卫生院53．7％为主。住院分娩率呈持续上升的趋势，从1999年的28．6％上升到2002年的76．1％。分娩地点由以家里为主，转变到以乡卫生院及县及以上医院，乡卫生院医生将承担主要的接生工作。住院分娩费用也在逐年提高。结论 住院分娩的宣传工作收到了一定的成效。为保证产妇安全分娩，还需加强乡卫生院工作及妇女的宣传教育工作，降低住院分娩收费标准，使她们能主动去医院分娩。

Analysis on status of safe delivery

Objective To evaluate the effect of the Unicef and MOH's primary health care program in rural area by investigating the health care,which women received before the delivering and after delivering,and analyze the factors which influence the rate of delivery in hospital,and develop the effective methods to enhance the safe delivery.Methods Multistage sampling and stratified sampling were used and information was gathered by interview with questionnaires.Results Rate of antenatal care was 97.1%,and the main place of antenatal care was township hospitals (53.7%).The rate of delivery in hospitaL was increased from 28.6% in 1999 to 76.1% in 2002,and the main delivery spot was transferred from home to township hospitals, township hospitals or higher-level hospitals,at the same time,the expenditure of delivery also rose year by year.Conclusion The public health education produced certain impact,but publicity and further education were still supposed to be enforced to make sure the pregnant women's safe delivery.The cost of delivery in hospital also should be cut down to guarantee the pregnant women's enthusiasm of delivery in hospital.