Objective To probe into the maternal care utilization by minority women, for the purpose of policy recommendations on better maternal care in minority areas. Methods A combination of stratified random sampling and typical sampling was made on 445 married women of reproductive age in six counties in Yunnan, Guizhou, Qinghai and Tibet provinces, a field survey on their utilization of maternal care services. Results Their average prenatal detection rate is 78.24％, a level lower than the national rural average of 93.7％ and grade-4 rural average of 81.2％ in 2008; their post partook rate is 30.7％, lower than the national rural average of 54.3％ and grade-4 rural average of 58.9％ in the same period; their average coverage rate is 52.18％, a level lower than the national rural average of 87.1％and grade-4 rural average of 64.3％ in 2008. Conclusion The maternal care utilization is found to be low for women in minority areas. Effective solutions are expected for payment of indirect expenditure of hospital delivery; better health education for enhancing health knowledge and health awareness of minority women; effective incentive mechanism for village doctors, consolidating the base of the three-level healthcare network.%目的 了解少数民族地区妇女对孕产期保健服务的利用状况，为进一步改善少数民族地区妇幼保健工作提出政策建议。方法 采取分层随机抽样和典型抽样相结合的方法，抽取云南、贵州、青海和西藏4个省（自治区）的6个县445名15～49岁已婚育龄妇女作为调查对象，对其孕产期保健服务的利用情况进行现场调查。结果 被调查妇女的平均产前检查率为78.24％，低于2008年全国农村93.7％的平均水平和四类农村81.2％的平均水平；产后访视率仅为30.7％，低于同期54.3％的农村平均水平和58.9％的四类农村平均水平；平均住院分娩率为52.18％，低于2008年87.1％的农村地区和64.3％的四类农村的平均水平。结论 少数民族地区孕产期保健服务利用率相对低下。建议有效解决住院分娩的间接费用；加强健康教育，提高孕产妇的健康知识水平和健康意识；建立村医的有效激励机制，夯实三级保健网网底。
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