重庆市2067例产妇非医学指征剖宫产现状及影响因素  

Status quo and influencing factors of non-medical indication cesarean section among 2067 parturients in Chongqing City

作　　者：黄巧[1] 曹奕[2] 杨蓉 HUANG Qiao;CAO Yi;YANG Rong(Outpatient Department of Obstetrics,Chongqing Municipal Maternal and Child Health Care Hospital,Chongqing 400013,China;Department of Population Health Care,Chongqing Municipal Maternal and Child Health Care Hospital,Chongqing 400013,China)

机构地区：[1]重庆市妇幼保健院产科门诊,400013 [2]重庆市妇幼保健院群体保健部,400013

出　　处：《重庆医学》2023年第1期137-141,共5页Chongqing medicine

基　　金：重庆市卫健委专项项目(2020FY202)。

摘　　要：目的探讨重庆市产妇非医学指征剖宫产现状及影响因素。方法2020年7月至2021年5月,采用分层随机抽样方法对重庆市三大区域内21所不同类型提供助产服务医院的2067例产妇进行调查,了解一般资料及分娩情况。结果非医学指征剖宫产有385例(18.6%),其中经产妇205例(53.2%),选择剖宫产的首要原因是“担心无法自然分娩,试产后最后还要改剖宫产(41.6%)”。2067例产妇中有47.2%不知晓孕产相关知识。logistic回归分析显示年龄、分娩史、是否知晓孕产相关知识是非医学指征剖宫产的影响因素(P<0.05)。结论孕产妇和产科医务人员均需提升认识,降低非医学指征剖宫产的发生。Objective To explore the status quo and influencing factors of non-medical indication cesarean section among parturients in Chongqing City.Methods The stratified random sampling method was adopted to conduct the survey on 2067 parturients from 21 different types of hospitals providing midwifery services in three regions of Chongqing City from July 2020 to May 2021.The general data and delivery situation were understood.Results A total of 385 cases(18.6%)had the non-medical indication cesarean section,in which 205 cases(53.2%)were multipara.The primary reason for selecting cesarean section was:“worry about the inability to spontaneous labor,after the trial labor,the caesarean section is needed at last(41.6%)”.Among 2067 cases of parturients,47.2%did not know the relevant knowledge of pregnancy and delivery.The Logistic regression analysis showed that age,delivery history and whether understanding the pregnancy and delivery related knowledge were the influencing factors of non-medical indication cesarean section(P<0.05).Conclusion The pregnant women and parturients and obstetric docors all need to elevate the cognition to reduce the occurrence of non-medical indication cesarean section.

关 键 词：产妇 非医学指征剖宫产 影响因素 对策 

分 类 号：R71[医药卫生—妇产科学]