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

孕產(chǎn)婦分娩方式選擇及影響因素分析

詳細(xì)信息

作者簡介:

李東燕（1973- ），女，山西靜樂縣人，講師，碩士，主要從事婦科及產(chǎn)科工作。

中圖分類號: R715.7

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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: 目的了解山西醫(yī)科大學(xué)第二醫(yī)院婦產(chǎn)科孕產(chǎn)婦分娩方式，并對其原因及影響因素進(jìn)行分析。方法選擇在山西醫(yī)科大學(xué)第二醫(yī)院婦產(chǎn)科順利分娩的2 778名孕產(chǎn)婦為研究對象，對孕產(chǎn)婦的一般情況、孕期產(chǎn)檢情況、產(chǎn)前分娩意愿、實際分娩方式及相關(guān)因素進(jìn)行分析。結(jié)果2006年孕產(chǎn)婦剖宮產(chǎn)率為40.6%，2011年則升至52.9%，呈不斷上升趨勢；年齡≥35歲、居住地為城鎮(zhèn)及體重超重的孕產(chǎn)婦其剖宮產(chǎn)率高于年齡<35歲、居住地為農(nóng)村及體重正常的孕產(chǎn)婦；1 291名孕產(chǎn)婦選擇剖宮產(chǎn)的主要原因有妊娠合并癥或并發(fā)癥，占29.9%，其次是胎兒臍帶繞頸，占17.4%；社會因素中主要考慮的是安全問題，占15.6%；1 487名孕產(chǎn)婦選擇自然分娩的最主要原因是產(chǎn)前檢查正常，占50.7%，其次是創(chuàng)傷小、恢復(fù)快，占15.9%；產(chǎn)前希望剖宮產(chǎn)的孕婦實際采用剖宮產(chǎn)的比例為75.6%，高于產(chǎn)前希望自然分娩的孕婦實際采用自然分娩的比例（59.6%），差異有統(tǒng)計學(xué)意義（P<0.05）。結(jié)論孕產(chǎn)婦剖宮產(chǎn)率處于較高水平，高剖宮產(chǎn)率受多種因素影響。

關(guān)鍵詞: 孕產(chǎn)婦  /  剖宮產(chǎn)  /  影響因素  

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.

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參考文獻(xiàn)(9)

[1] 宋波, 方利文, 周鈺, 等.妊娠婦女社會因素剖宮產(chǎn)狀況及影響因素分析[J].中國公共衛(wèi)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.

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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.

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

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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] 劉瀏, 陶芳標(biāo), 黃錕, 等.安徽農(nóng)村育齡婦女剖宮產(chǎn)現(xiàn)狀及影響因素分析[J].中國公共衛(wèi)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.

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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.

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目錄

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