二胎政策实施后剖宫产率的变化及其影响因素分析  

Change of cesarean section rate and its influencing factors after the implementation of the two-child policy

作　　者：赵希丽 李秒 马琛琛 ZHAO Xi-li;LI Miao;MA Chen-chen(Delivery Room,Ankang Traditional Chinese Medicine Hospital,Ankang 725000,Shaanxi,CHINA)

机构地区：[1]安康市中医医院产房,陕西安康725000

出　　处：《海南医学》2020年第9期1137-1140,共4页Hainan Medical Journal

摘　　要：目的探究二胎政策实施后剖宫产率的变化及其影响因素。方法回顾性分析2014年1月至2018年12月于安康市中医医院分娩的1200例产妇的临床资料,根据二胎政策实施时间将实施前(2014年1月至2015年12月)作为对照组(582例),将实施后(2016年1月至2018年12月)作为观察组(618例)。比较两组患者的剖宫产率,采用多因素Logistic回归分析法分析二胎政策实施后剖宫产率的影响因素。结果观察组产妇剖宫产率为62.62%,明显高于对照组的53.95%,差异有统计学意义(P<0.05);观察组和对照组产妇的阴道助产率分别为6.47%、6.01%,差异无统计学意义(P>0.05);观察组产妇有医学指征的剖宫产率为72.28%,明显高于对照组的59.24%,差异有统计学意义(P<0.05);单因素分析结果显示,产妇年龄、产妇BMI、产妇文化程度、产次、孕期并发症、既往病史及再分娩意愿均与产妇选择剖宫产分娩方式有关(P<0.05);经Logistic多因素回归分析结果显示,产妇年龄、产妇BMI、产妇文化程度、孕产次、孕期并发症、既往病史及再分娩意愿均是二胎政策实施后剖宫产的影响因素(P<0.05)。结论二胎政策实施后总体剖宫产率有所上升,但主要为有医学指征剖宫产率上升,产妇年龄、产妇BMI、产妇文化程度、孕产次、孕期并发症、既往病史及再分娩意愿均是剖宫产率的影响因素,有必要引起重视,以控制剖宫产率。Objective To explore the change of cesarean section rate and its influencing factors after the implementation of the two-child policy.Methods The clinical data of 1200 puerperants delivered in Ankang Traditional Chinese Medicine Hospital from January 2014 to December 2018 were retrospectively analyzed.According to the implementation of the second-child policy,they were divided into the control group(582 cases,before implementation of the policy,from January 2014 to December 2015),and the observation group(618 cases,after the implementation,from January2016 to December 2018).The cesarean section rates were compared between the two groups,and the influencing factors of cesarean section rate after the implementation of the second-child policy were analyzed using Logistic regression.ReResults The cesarean section rate in the observation group was 62.62%,which was significantly higher than 53.95%in the control group(P<0.05).The vaginal birth rate in the observation group(6.47%)and the control group(6.01%)showed no statistically significant difference(P>0.05).The cesarean section rate of medical indications in the observation group was 72.28%,which was significantly higher than 59.24%in the control group(P<0.05).Univariate analysis showed that maternal age,maternal body mass index(BMI),education level,parity,pregnancy complications,medical history,and willingness to deliver again were related to maternal cesarean delivery mode(P<0.05).Logistic multivariate regression analysis showed that maternal age,maternal BMI,education level,parity,pregnancy complications,medical history and willingness to deliver again were all related to cesarean section after the implementation of the second-child policy.Conclusion Since the implementation of second-child policy,the overall cesarean section rate has increased,but mainly due to the increase in the rate of cesarean section,and maternal age,maternal BMI,education level,parity,pregnancy complications,medical history,and the willingness to deliver again are the influencing factors of

关 键 词：二胎政策 剖宫产率 影响因素 分娩方式 医学指征 

分 类 号：R719.8[医药卫生—妇产科学]