无锡市剖宫产的主要影响因素病例对照研究  

A case-control study of the main influencing factors of cesarean delivery in Wuxi city

作　　者：张静[1,2] 沈洪兵[1] 陆海燕 许华 张秋莹 蒋春霞 

机构地区：[1]南京医科大学公共卫生学院,江苏南京210029 [2]无锡市锡山区妇幼保健所 [3]江苏省无锡市锡山区妇幼保健所 [4]江苏省无锡市锡山人民医院

出　　处：《中国妇幼保健》2012年第23期3630-3632,共3页Maternal and Child Health Care of China

基　　金：2011年无锡市科技计划(科技支撑-医疗卫生)项目〔CSE01N1121〕

摘　　要：目的:探讨无锡市剖宫产的主要影响因素,为开展前瞻性的干预研究提供科学依据。方法:将2011年8月～10月间在无锡市锡山人民医院分娩的1 024名产妇作为研究对象,开展回顾性问卷调查,采用方差分析、卡方检验、单因素及多因素Logistic回归分析剖宫产的主要影响因素。结果:产妇年龄、孕期增重、产检医生建议、孕期分娩意愿、周围产妇分娩方式等7个变量有统计学意义,是剖宫产的主要影响因素。结论:加强孕期健康教育,引导孕妇树立科学的分娩观,合理控制孕期体重增长和新生儿出生体重,产检医生合理建议是有效降低剖宫产率的关键措施。Objective： To explore the main influencing factors of cesarean delivery in Wuxi city, provide a scientific basis for prospectivc intervention. Methods： A total of 1 024 parturient women who gave birth to their babies in Xishan people＇s hospital of Wuxi city from August to October in 2011 were selected as study objects, a retrospective questionnaire survey was performed; variance analysis, chi - square test, univariate and muhivariate logistic regression analysis were used to analyze the main influencing factors of cesarean section. Results ： Maternal age, body weight gain during pregnancy, advices from obstetricians, delivery willingness during gestational period, delivery modes of neighboring parturient women were the main infuencing factors of cesarean section, which had statistical significances. Conclusion： The key measures to reduce cesarean section rate include enhancing health education during gestational period, directing the pregnant women to establish scientific delivery awareness, controlling body weight gain during pregnancy and birth weight of neonates reasonably, and reasonable advices from obstetricians.

关 键 词：剖宫产 主要影响因素 病例对照研究 

分 类 号：R713[医药卫生—妇产科学]