摘要
目的:分析南京市孕产妇剖宫产升高的原因及其影响因素。方法:采用整群调查的方式收集南京市妇幼保健院产科2011年1～12月选择剖宫产的4 793名产妇及其家庭成员进行问卷调查。结果:剖宫产指征中社会心理因素占69.27%、经济因素(家庭收入和医疗保险等)占17.24%、医学指征因素占13.49%。高学历、高收入和高龄产妇选择剖宫产术显著高于普通产妇(P<0.01)。多因素Logistic回归分析显示,与选择剖宫产术相关的危险因素有年龄、受教育程度、家庭收入、医疗保险、婚姻状况、产妇及家庭心理干预。结论:加强孕产妇围产期保健及分娩知识宣教,强化高危人群的筛查和规范化管理,广泛开展无痛分娩和住院服务,正确把握剖宫产指征与时机,将有利于降低剖宫产率。
Objective：To analyse the cause of rising maternal cesarean section rate and its influencing factors in Nanjing city. Methods： Cluster sampling was used to collect 4 793 parturient women choosing cesarean section in Nanjing Maternity and Child Care Hospital from January to December, 2011 and questionnaire was used to the maternal and their family members. Resuha：In the indications of cesarean section,social psychology factors accounted for 69.27%, economic factors （family income and health insurance,etc） accounted for 17.24%,medical indications factors accounted for 13.49%. Maternal choosing cesarean section with highly educated or high income or high aged was significantly more than the normal cesarean delivery mothers （P 〈 0.01 ）. Many factors Logistic regression showed that the related risk factors of choosing cesarean section are：age,education level, family income, medical insurance, marital status, maternal and family psychological intervention. Conclusion：The following measures should be helpful to reduce cesarean section rate：paying attention to delivery knowledge education and perinatal care to parturient women,strengthening the screening of high-risk groups and standardized management, widely conducting painless delivery and hospital services, exactly grasping the cesarean section indications and opportunity.
出处
《南京医科大学学报（社会科学版）》
2012年第6期471-473,共3页
Journal of Nanjing Medical University（Social Sciences）
关键词
孕产妇
剖宫产
影响因素
maternal
cesarean section
influencing factors
