353例孕妇分娩方式及影响因素分析  

Analysis on influence factors related to delivery way： a study of 353 cases

作　　者：王丹丹[1] 顾祖文 张美华[1] 

机构地区：[1]上海市浦东新区妇幼保健院,上海浦东201206

出　　处：《健康必读（下）》2010年第9期133-134,共2页

基　　金：浦东新区卫生系统医学领先人才培养项目（PWRq2007-08）

摘　　要：目的了解353例孕妇分娩方式及分析不同分娩方式的相关影响因素。方法对2010年5月至2010年9月到我院做产前检查的孕妇进行问卷调查。应用EpiData3．0软件双次录入，审核数据后应用SPSS11．5软件进行统计学分析。结果在353名基线调查对象中，剖宫产率为75．9％，顺产率为24．1％。居于前3位的剖宫产指征分别为社会因素（60．1％）、妊娠合并症（21．3％）、胎位不正（8．2％）。回归分析发现，认为剖宫产对母儿更安全、对分娩没有信心及胎儿体重在4000g以上的对象剖宫产的可能性大。结论目前剖宫产率相当高，社会因素和妊娠合并症已成为最主要的剖宫产指征，不同分娩方式与孕妇的心理因素和某些人口学特征（新生儿儿体重）密切相关。Objective To understand the factors related to delivery.Methods Pregnant woment who came for health examination in this hospitals were investigated from May 2010 to Sep 2010.The database was set up and twice entered in EpiData 3.0. After checked up, the data were analyzed in SPSS11.5. Results Among 353 puerperas ,the CS rate was 75.9 %. The top three indications for CS weresocial factors （60.1%）, pregnancy complications （21.3%） and abnormal fetal position（8.2%） respectively. The result of regression analysis showed that puerperas who had worried about maternal or neonatal safety ,had no confidence in vaginal delivery and macrosomia were more likely to have CS. Conclusion At present ,the CS rate is rather high. The main indications for CS are social factors and pregnancy complications. The different delivery way is associated with the psychological factor and some demographic factors such as fetal weight.

关 键 词：分娩方式 影响因素 孕妇 剖宫产指征 妊娠合并症 剖宫产率 社会因素 胎儿体重 

分 类 号：R714[医药卫生—妇产科学]