新疆生产建设兵团育龄妇女分娩保健状况分析

目的：了解新疆生产建设兵团1971～2006年间分娩保健状况。方法：采取整群分层、四阶段、概率比例抽样方法随机抽样，调查员入户面对面问卷调查，共调查有活产育龄妇女6609人，对影响兵团育龄妇女住院分娩率的因素进行单因素分析和非条件logistic逐步回归分析。结果：住院分娩率从1971～1985年的68．18％升至2001～2006年的82．01％，剖宫产率由1971～1985年的2．92％升至2001～2006年的36．32％。影响育龄妇女选择住院分娩的因素为分娩时期、民族、受教育程度、分娩年龄、产前检查次数、生育史和职业。结论：育龄妇女分娩保健状况明显改善，但仍需进一步加强对少数民族、从事农业、受教育程度低的育龄妇女分娩保健知识的宣传教育力度，在保障育龄妇女住院分娩的同时，控制剖宫产率。

Status of Delivery Care for Women of Reproductive Age in Xinjiang Production and Construction Corps

Objective:To investigate the status of delivery care in Xinjiang Production and Construction Corps between 1971 and 2006. Methods:A total number of 6 609 women of reproductive age with live births were investigated by utilizing a stratified,four-phase,probability,and randomized sampling method. The associated factors of institutional delivery rate were analyzed with single-factor and multivariate logistic regression analyses. Results:The rate of institutional delivery increased from 68.18% between 1971 and 1985 to 82.01% between 2001 and 2006. The rate of cesarean section increased from 2.92% between 1971 and 1985 to 36.32% between 2001 and 2006. The associated factors of institutional delivery rate included duration of gestation,nationality,the level of education,age,frequency of prenatal examination and obstetrical history and occupation. Conclusion:The status of delivery care for women of reproductive age has considerably improved. It is required to further strengthen propaganda and education for minority,rural women with low level of education. The rate of cesarean section should be controlled when institutional delivery rate increases.