流动人口产妇在京分娩状况分析

目的:了解海淀区流动人口孕产妇在北京分娩状况及分娩费用,为提高流动人口孕妇住院分娩率提供依据。方法:选取海淀区两个乡卫生院保健科,对630名产妇进行问卷。结果:630名流动人口产妇的住院分娩率为79.2%,Logistic回归分析后产妇文化程度和产次对住院分娩有影响,随着产妇文化程度提高住院分娩率提高,随着产次增加住院分娩率降低。住院产妇阴道分娩的平均费用为2 274元,剖宫产的平均费用为4 915元,非住院分娩的产妇分娩费用平均为456元。131名产妇在家(或私人诊所)分娩的原因中70.2%(92名)是因为“经济困难,”15.3%(20名)是“认为没必要到医院分娩”。结论:经济因素是影响流动人口住院分娩的主要因素;要提高流动人口孕妇的住院分娩率必须要对医院的收费进行限定;要做好流动人口孕产妇管理,必须要政府参与,多部门协作。

Analysis of the childbirth status in beijing among migrant maternal women in Haidian district of Beijing

Objective:To investigate the childbirth status and childbirth cost in Beijing among migrant maternal women in order to offer reference basis for improving the rate of hospitalized childbirth.Methods:A questionnaire survey was conducted among 630 maternal women in two country clinics in Haidian district.Results:The rate of the hospitalized childbirth of 630 maternal women is 79.2%,the Logistic Regression Analysis indicated that the maternal women with higher education degree,with fewer delivery were more likely to delivery in hospital.In hospital the average cost of vaginal delivery is RMB 2274 and the average cost of Cesarean delivery is RMB 4915,on the contrary the average cost of delivery in home or in clinics is RMB 456.Accounting for 70.2% of the reasons for not delivering in hospital is 'economic difficulty',15.3% is "it's not necessary to delivery in hospital".Conclusion:The major factor influences the rate of hospitalized childbirth is economic factor;to improve the rate of hospitalized childbirth must limit the delivery cost;it is important that government participate in the management of migrant maternal women and multiple departments cooperate.