惠州市妇产科医务人员对分娩方式选择的调查分析  

Survey on obstetricians and gynecologists viewpoint with cesarean section preference in Huizhou

作　　者：彭可[1] 

机构地区：[1]广东省惠州市中心人民医院,516001

出　　处：《中国现代药物应用》2008年第22期13-15,共3页Chinese Journal of Modern Drug Application

摘　　要：目的通过进行惠州市妇产科医务人员对分娩方式选择的问卷式调查,了解惠州市剖宫产率与医务人员年龄、职称、学历之间的相关性。方法采用分层抽样的方法,对惠州市各区12所二级、三级医院的妇产科医务人员进行问卷式调查。结果年龄小、职称低、学历低者选择剖宫产的比例增加(P值均<0.05);三级医院较二级医院医务人员同意孕妇要求进行无医学指征剖宫产的比例明显增高(P=0.001);年龄越小的医师越认为孕妇有权利选择分娩方式(P=0.027);助产士较医师选择剖宫产的比例较高(P=0.002);年龄越大、职称越高、二级医院的医师主张前次剖宫产再次阴道试产的比例明显增加(P值均<0.05),且年龄越大、职称越高的医师在分娩方式的选择上较少受到社会因素的干扰(P值均<0.01)。结论医师具有良好的心理素质、丰富的临床经验及助产士业务水平的提高,是降低剖宫产率的重要因素。Objective To study the correlation between the age, title, education and the cesarean section preference among obstetricians and gynecologists in Huizhou. Methods This survey was carried out in 18 cation were more likely to prefer casarean section （P =0. 043, P =0. 002,P =0. 006）. More physicians in the tertiary hospital consented selective cesarean section than those in the secondary hospitals （ P = 0. 001 ）. The majority of younger physicians think that pregnant women have the right to decide the mode of delivery （ P = 0. 027 ）. Physicians in older age, higher position and in secondary hospital are more prone to prefer VBAC （P = 0. 047, P = 0. 002, P = 0. 000） and their preference are rarely interfered by social factors （ P = 0. 008, P = 0. 002 ）. Conclusion Wholesome clinical experience and high professional education are main factors in reducing the rate of cesarean section.

关 键 词：医务人员 分娩方式 剖宫产率 

分 类 号：R719.8[医药卫生—妇产科学]