目的:了解重庆市农村地区孕产妇产时保健利用状况,分析其影响因素,为农村地区产时保健工作的开展提供对策和依据。方法:采用分层整群抽样的方法调查2006年生育的产妇1623例,运用SAS8.2软件包对资料进行统计分析。结果:住院分娩率为92.98%,在家分娩率为6.28%。在1509例住院分娩的产妇中,顺产占60.38%,剖宫产占39.25%,难产占0.37%。未住院分娩的主要原因是经济困难占44.66%、来不及(急产)占32.04%、没必要去医院11.65%、交通不便2.91%。多因素分析影响住院分娩的因素主要有产妇年龄、是否做过产检、是否参加母婴保健保偿制(孕管卡);影响剖宫产的因素主要有是否有孕管卡、已有子女个数、是否做过5次以上产前检查。结论:该地区产时保健状况有待提高,应加强孕产期健康宣教,提高住院分娩率,降低剖宫产率。 Objective: To understand the status of maternal health care utilization in rural areas in Chongqing, analyze its influencing factors and provide countermeasures and basis for the development of occupational health care in rural areas. Methods: Stratified cluster sampling method was used to investigate 1623 maternal births in 2006, and SAS8.2 software package was used to analyze the data. Results: The hospital delivery rate was 92.98% and the delivery rate at home was 6.28%. In 1509 cases of in-hospital delivery of labor, 60.38% of births, cesarean section accounted for 39.25%, dystocia accounted for 0.37%. The main reasons for not being delivered in hospital were economic difficulties accounted for 44.66%, too late (urgently) accounted for 32.04%, no need to go to the hospital 11.65%, traffic inconvenience 2.91%. Multivariate analysis of the main factors affecting hospital delivery were maternal age, whether the child was inspected, whether to participate in maternal and child health insurance system (pregnancy card); factors affecting cesarean section are whether there is a pregnancy card, there are children Number, whether done more than 5 prenatal check. Conclusion: The status of occupational health care in this area needs to be improved. Health education during pregnancy and childbirth should be strengthened to increase the rate of hospital delivery and reduce the rate of cesarean section.