孕产妇分娩方式选择及影响因素分析

LI Dong-yan, YUAN Li-ping, WANG Hua. Selection of delivery mode and its influencing factors among pregnant women[J]. Chinese Journal of Public Health, 2014, 30(6): 829-831. DOI: 10.11847/zgggws2014-30-06-48

Citation: LI Dong-yan, YUAN Li-ping, WANG Hua. Selection of delivery mode and its influencing factors among pregnant women[J]. Chinese Journal of Public Health, 2014, 30(6): 829-831. DOI: 10.11847/zgggws2014-30-06-48

孕产妇分娩方式选择及影响因素分析

详细信息

作者简介:

李东燕（1973- ），女，山西静乐县人，讲师，硕士，主要从事妇科及产科工作。

中图分类号: R715.7

计量 文章访问数:  0972 HTML全文浏览量:  0210 PDF下载量:  047 出版历程 收稿日期:  2013-10-29 刊出日期:  2014-06-10

Selection of delivery mode and its influencing factors among pregnant women

Gynaecology and Obetetrics Department, Second Affiliated Hospital of Shanxi Medical University, Taiyuan, Shanxi Province 030000, China

摘要

摘要: 目的了解山西医科大学第二医院妇产科孕产妇分娩方式，并对其原因及影响因素进行分析。方法选择在山西医科大学第二医院妇产科顺利分娩的2 778名孕产妇为研究对象，对孕产妇的一般情况、孕期产检情况、产前分娩意愿、实际分娩方式及相关因素进行分析。结果2006年孕产妇剖宫产率为40.6%，2011年则升至52.9%，呈不断上升趋势；年龄≥35岁、居住地为城镇及体重超重的孕产妇其剖宫产率高于年龄<35岁、居住地为农村及体重正常的孕产妇；1 291名孕产妇选择剖宫产的主要原因有妊娠合并症或并发症，占29.9%，其次是胎儿脐带绕颈，占17.4%；社会因素中主要考虑的是安全问题，占15.6%；1 487名孕产妇选择自然分娩的最主要原因是产前检查正常，占50.7%，其次是创伤小、恢复快，占15.9%；产前希望剖宫产的孕妇实际采用剖宫产的比例为75.6%，高于产前希望自然分娩的孕妇实际采用自然分娩的比例（59.6%），差异有统计学意义（P<0.05）。结论孕产妇剖宫产率处于较高水平，高剖宫产率受多种因素影响。

关键词: 孕产妇  /  剖宫产  /  影响因素  

Abstract: ObjectiveTo study the selection of delivery mode and its influencing factors among pregnant women.MethodsA total of 2 778 pregnant women getting antenatal examination and giving a birth to a living infant in a hospital were selected for a cross-sectional study.Information on general situation,prenatal examination,dilivery preference,actual delivery mode,and related factors were collected with a questionnaire survey among the pregnant women.ResultsAmong the participants the cesarean section rate was 40.6% in 2006 and 52.9% in 2011,and the cesarean section rate showed an increasing trend during the period.The cesarean section rate in the pregnant women aged more than 35 years,living in unban area,and being overweight was higher than those less than 35 years old,living in rural area,and with normal weight.The main reasons for the pregnant women choosing cesarean section were having pregnancy complications(29.9%)and with a fetus of umbilical cord around neck(17.4%).The main social factor related to cesarean section preference was delivery safety(15.6%).The main reasons for the pregnant women choosing natural delivery were with normal condition in antenatal examination(50.7%)and awareness of less damage and rapid recovery of natural delivery(15.9%).The cesarean section rate was 75.6% among the pregnant women with cesarean section preference before the delivery and higher than that among the pregnant women with natural delivery preference before the delivery.ConclusionThe cesarean section rate is at a high level and influenced by many factors.

HTML全文

参考文献(9)

[1] 宋波, 方利文, 周钰, 等.妊娠妇女社会因素剖宫产状况及影响因素分析[J].中国公共卫生, 2010, 26(5):533-534. [2]

Liu AL, Yung WK, Yeung HN, et al.Factors influencing the mode of delivery and associated pregnancy outcomes for twins:a retrospective cohort study in a public hospital[J].Hong Kong Med J, 2012, 18(2):99-107.

[3]

Barau G, Robillard PY, Hulsey TC, et al.Linear association between maternal pre-pregnancy body mass index and risk of caesarean section in term deliveries[J].BJOG, 2006, 113(10):1173-1177.

[4]

Chen MM, Hancock H.Women's knowledge of options for birth after caesarean section[J].Women Birth, 2012, 25(3):e19-26.

[5]

Zhang J, Liu Y, Meikle S, et al.Cesarean delivery on maternal request in southeast China[J].Obstet Gynecol, 2008, 111(5):1077-1082.

[6]

Roberts CL, Algert CS, Ford JB, et al.Pathways to a rising caesarean section rate:a population-based cohort study[J].BMJ Open, 2012, 2(5):e001725.

[7] 刘浏, 陶芳标, 黄锟, 等.安徽农村育龄妇女剖宫产现状及影响因素分析[J].中国公共卫生, 2010, 26(5):520-521. [8]

Coleman VH, Lawrence H, Schulkin J, et al.Rising cesarean delivery rates:the impact of cesarean delivery on maternal request[J].Obstet Gynecol Surv, 2009, 64(2):115-119.

[9]

Feng XL, Xu L, Guo Y, et al.Factors influencing rising caesarean section rates in China between 1988 and 2008[J].Bull World Health Organ, 2012, 90(1):30-39.

施引文献

资源附件(0)

计量 文章访问数:  HTML全文浏览量:  PDF下载量:  出版历程 收稿日期:  2013-10-29 刊出日期:  2014-06-10

目录

相关知识

孕产妇分娩恐惧的影响因素及干预策略
分娩方式有哪些？孕妇如何选择分娩方式？
产妇分娩方式的选择
影响分娩的几大因素
中国部分地区孕产妇健康知识知晓状况及影响因素分析
孕妇分娩知识之正确分娩方式如何选择
分娩方式的选择：自然分娩与剖宫产的利弊分析
夏彬：分娩方式的选择：顺产、剖宫产与无痛分娩
四种分娩方式的选择
针对性健康指导对非医学指征要求剖宫产孕妇选择分娩方式的影响.pdf

网址: 孕产妇分娩方式选择及影响因素分析 https://www.trfsz.com/newsview116048.html