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目的探讨提高边远贫困山区孕产妇住院分娩率的有效措施,以提高边远贫困山区孕产妇住院分娩率。方法采用实验流行病学方法,在边远贫困山区开展“补助村医免费送临产孕妇去助产机构”和“给予孕妇每人每天50元的住院待产补助”两项干预措施的现场试验和社区试验。结果干预组住院分娩率的增长速度(17.45%)高于对照组(14.34%)。采取“补助村医免费送临产孕妇去助产机构”的干预措施有效(χ~2=4.680,P=0.031),而“给予孕妇每人每天50元的住院待产补助”干预措施差异虽无统计学意义(χ~2=1.315,P=0.251),但OR=1.245,95%CI为0.855~1.813,干预措施有效性尚不能确定。结论应进一步加强边远贫困山区的基层网底建设,建议政府管理部门建立与完善“村医送临产孕妇去助产机构”的运行机制,并设立相关专项交通补助经费。
Objective To explore effective measures to increase hospital delivery rate of pregnant women in remote mountainous areas in order to increase hospital delivery rate of pregnant women in remote mountainous areas. Methods The experimental epidemiological method was used to carry out “subsidized village doctors free delivery of pregnant women to the midwifery” in remote and impoverished mountainous areas and “hospitalization allowance of 50 yuan per person for pregnant women per day.” “Two interventions Trials and community trials. Results The growth rate of hospital delivery rate (17.45%) in the intervention group was higher than that in the control group (14.34%). (Χ ~ 2 = 4.680, P = 0.031), and ”50 yuan per person per day for pregnant women to give birth to allow subsidies “ interventions to take ”to help village doctors free delivery of pregnant women to the midwifery institutions The difference was not statistically significant (χ ~ 2 = 1.315, P = 0.251), but OR = 1.245, 95% CI 0.855 ~ 1.813, the effectiveness of interventions is uncertain. Conclusion It is necessary to further strengthen grassroots network construction in remote and impoverished mountainous areas. It is suggested that government departments establish and improve the operation mechanism of “village doctors sending pregnant women to midwifery institutions” and set up special subsidies for transportation subsidies.