产妇分娩方式选择及其影响因素研究  

STUDY ON THE CHOICES OF DELIVERY WAYS OF THE PREGNANT WOMEN AND THE RELATED INFLUENCIAL FACTORS

作　　者：毕江江[1] 刘荧荧[1] 王威[1] 袁晶[2] 

机构地区：[1]华中科技大学同济医学院第二临床学院,2000级七年制武汉430030 [2]华中科技大学同济医学院公共卫生学院

出　　处：《现代预防医学》2007年第7期1314-1316,共3页Modern Preventive Medicine

摘　　要：[目的]探讨影响产妇分娩选择方式的相关因素及其相关程度。[方法]采用“产妇分娩方式的选择及其影响因素问卷”,对213名产妇进行调查,并对产妇选择顺产或剖宫产及主观、客观因素进行分析。[结果]观察人群总剖宫产率为81.2%。除符合剖宫产手术指征外,社会因素已成为影响剖宫产率上升的主要原因之一。[结论]来自孕妇及医生的主观意愿影响着分娩方式的合理选择,剖宫产的手术指征已远远超过单纯医学指征的范围,并导致剖宫产率的大幅度上升。因此降低剖宫产率应首先降低社会因素剖宫产,这也是当前需要解决的一大难题。[Objectives] To investigate the related factors of choosing cesarean section and analyze the main social factors. [Methods] The questionnaires were performed in 213 pregnant women, the subjective and objective factors influcing the choices of vaginal delivery or cesarean section were analyzed by chi-square test and logistic regression. [ Results] The cesarean section ratio was 81.2%, which was much more higher than the country＇s ratio in 1993. Except for the indications for cesarean section, the social factors were one of the main causes of the increase of the ratio. [Conclusion] The pregnant women＇s subjective willings influnce their choices of delivery ways. The inappropriately extended indications of cesarean section result in the significant increase ratio of cesarean section. Therefore, the related factors should be decreased firstly, which is also a difficult problem waiting to be solved right now.

关 键 词：顺产 剖宫产 相关因素 指征 

分 类 号：R714.3[医药卫生—妇产科学]