初产妇临产后剖宫产的影响因素研究  

Study of risk factors for cesarean delivery in nulliparous patients in labor

作　　者：赖毓冕[1] 韩田骏[1] 

机构地区：[1]广东省广州市妇婴医院,广东广州510180

出　　处：《海南医学》2006年第1期34-35,共2页Hainan Medical Journal

摘　　要：目的探讨足月单胎头位初产妇临产后行剖宫产的影响因素。方法采用病例对照研究方法,对360例足月单胎头位初产妇经单因素和多因素分析筛选出临产后行剖宫产的影响因素。结果单因素分析提示孕妇年龄、身高、孕期体重增长等9个因素与临产后行剖宫产有关,条件logistic分析进一步提示临产后阴检次数、临产后8小时宫口扩张情况、孕妇年龄、孕期体重增长、临产后2小时先露位置是临产后行剖宫产的最重要影响因素。结论及时对临产后剖宫产的重要影响因素进行评估与及时手术,可以减少手术并发症的发生。Objective To investigate risk factors for cesarean delivery in nulliparous patients in labor. Methods This was a case-control, study of 360 nulliparous patients presenting in labor at term with singleton vertex fetus with cesarean delivery. The risk factors were explored with single factor and multi factors analysis. Results The single factor analysis approved that 9 risk factors were related to cesarean delivery, including age, height, pregnancy weight gain and et al. Moreover, logistic regression analysis confirmed that the most important risk factors of cesarean delivery is vaginal examinations in labor, change in cervical dilatation at 8 hours, age, pregnancy weight gain, and change in fetal station at 2 hours. Conclusions To offer early cesarean delivery to patients at highest risk,reducing the morbidity of long labor.

关 键 词：初产妇 临产 剖宫产 影响因素 

分 类 号：R714.7[医药卫生—妇产科学]