孕妇要求不合理剖宫产影响因素分析  

The Analysis of Factors Influencing Pregnant Women Requesting Unreasonable Cesarean Section

作　　者：文艳玲[1] 李玲[1] 陈红花[1] 任燕华[1] 

机构地区：[1]湖北省新华医院,湖北武汉430015

出　　处：《中国社会医学杂志》2012年第2期115-118,共4页Chinese Journal of Social Medicine

摘　　要：目的探讨影响孕妇要求不合理剖宫产的相关因素,为孕产期妇女保健工作提供指导。方法采用病例对照研究的方法,对某三级甲等医院2010年6月～2011年6月的产科分娩病案记录进行回顾调查。结果产妇年龄大于35岁、居住在城市、文化程度在本科以上、职业为管理人员或者个体私营业主时,其要求不合理剖宫产的危险性会增加,OR值分别为1.26(1.09,2.01),2.14(1.47,2.98),1.55(1.19,2.70),1.63(1.36,2.89),1.85(1.47,2.86)。产妇享有医疗保险、剖宫产分娩史以及肥胖(BMI>29)也是产妇要求不合理剖宫产的危险因素,阴道分娩史是产妇要求不合理剖宫产的保护因素,其OR值分别为2.01(1.26,3.15),3.89(2.17,6.32),1.19(1.02,2.01),0.46(0.21,0.76)。结论应有针对性地加强孕产期妇女保健知识的宣传教育工作,从而控制剖宫产过度使用。Objectives To explore the factors which influence pregnant women requesting unreasonable cesarean section(CS),and to provide guidance for maternal care.Methods We constructed a case-control study to analyze the medical records of pregnant women who delivered between June,2010 and June 2011.Results Pregnant women with the following characteristics were more likely to request unreasonable CS: older than 35,living in the city,education level above the bachelor degree,administrative staff or private owners,the OR were 1.26(1.09,2.01),2.14(1.47,2.98),1.55(1.19,2.70),1.63(1.36,2.89),1.85(1.47,2.86),respectively.Having health insurance,CS delivery history and obesity were risk factors for women to request unreasonable CS,while the vaginal delivery history was protective factors,the OR were 2.01(1.26,3.15),3.89(2.17,6.32),1.19(1.02,2.01),0.46(0.21,0.76),respectively.Conclusions In order to control the excessive use of CS,it is necessary to strengthen health education for pregnant women.

关 键 词：剖宫产 影响因素 孕妇 

分 类 号：R719.8[医药卫生—妇产科学]