二孩政策下初產(chǎn)婦分娩方式調(diào)查及影響因素分析32500 溫州市中心醫(yī)院Analysis on the mode of delivery of primipara women and related influencing factors under the policy of second childYu Qinjian, Zhang Mengsi, Chen YangpingWhenzhou Central Hospital, Whenzhou 32500, China摘要圖/表參考文獻(xiàn)相關(guān)文章(15) 摘要 目的 探討二胎政策實施前后某醫(yī)院初產(chǎn)婦分娩方式的差異以及相關(guān)影響因素，為產(chǎn)科工作提供參考。方法 收集本院1 200例初產(chǎn)婦的臨床資料，其中2015年1月至6月初產(chǎn)婦600例（A組）代表二孩政策落實前的狀況；2017年1月至6月初產(chǎn)婦600例（B組），代表二孩政策落實后的狀況。觀察比較二孩政策落實前后本院初產(chǎn)婦分娩方式的變化，并分析其影響因素。結(jié)果 A組初產(chǎn)婦選擇陰道分娩方式的比例低于B組，差異有統(tǒng)計學(xué)意義（χ2=12.09，P=0.02）；初產(chǎn)婦選擇順產(chǎn)分娩方式的主要影響因素包括年齡、文化程度、多胎、孕期合并癥、二孩政策（OR=0.920、1.178、0.909、0.824、1.242，P＜0.05）。結(jié)論 與二孩政策落實前比較，二孩政策落實后初產(chǎn)婦選擇陰道分娩的比例增加，二孩政策已經(jīng)影響了產(chǎn)婦的生育行為，必須給予高度重視，以便更好地應(yīng)對當(dāng)前的產(chǎn)科形勢。服務(wù)把本文推薦給朋友加入我的書架加入引用管理器 E-mail AlertRSS作者相關(guān)文章余勤儉張夢思陳楊萍關(guān)鍵詞 ：二孩政策, 初產(chǎn)婦, 分娩方式, 影響因素, 調(diào)查研究   Abstract：Objective To explore the differences in primipara delivery methods and related influencing factors in a hospital before and after the implementation of the secondchild policy, and provide reference for obstetric work. Methods The clinical data of 1 200 primiparas in our hospital were collected. Among them, 600 cases (group A) from January to June 2015 represented the status before the implementation of the second child policy; 600 cases of women from January to June 2017 (group B), on behalf of the situation after the implementation of the second child policy. We observed and compared the changes and differences in the delivery methods of primiparas in our hospital before and after the implementation of the secondchild policy, and analyzed the influencing factors. Results The proportion of vaginal delivery method in group A was lower than that in group B, and the difference was statistically significant ( χ2=12.09, P=0.02). The main influencing factors of primiparas' choice of delivery mode included age, education level, multiple births, Pregnancy comorbidity, and second child policy (OR=0.920, 1.178, 0.909, 0.824, 1.242, P<0.05).Conclusion Compared with that before the implementation of the secondchild policy, the proportion of primiparas who choose vaginal delivery after the implementation of the secondchild policy has increased. The secondchild policy has affected the maternal fertility behavior and must be given high priority in order to better cope with the current obstetric situation.Key words：second child policy  primipara  birth mode  influencing factor   investigation and research收稿日期: 2019-02-15     通訊作者:余勤儉，Email: wcxy008620@163.com   

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