摘要
目的了解全面二孩政策下正常初产妇的分娩意向及其影响因素。方法选择2016年5—10月在医院产科门诊建卡产检并计划在院分娩的1200例正常孕足月初产妇进行问卷调查,收集其个人基本信息、二孩再生育意愿、预期分娩意向等相关数据进行回顾性分析。结果正常孕足月初产妇中786例预期阴道分娩(65.5%),180例预期剖宫产(15%),分娩方式选择听从医师建议的有198例(16.5%),暂未考虑分娩方式或持不确定态度的占36例(3%)。有40%的女性有二孩生育意愿(480例),有35%(420例)尚未考虑二孩生育计划,二孩生育意愿与分娩意向呈相关性(P<0.001),即计划生育2个及以上孩子的初产妇与计划生育1个孩子的初产妇相比,更倾向于自然分娩。结论影响孕妇预期分娩方式的因素有孕妇年龄、家庭人均月收入、二孩再生育意愿、分娩方式的认知及亲人、朋友对分娩的建议,差异有统计学意义(P<0.05)。因此,建议产科医疗机构不断完善围产期保健健康教育体系,加强孕期分娩知识教育,为产妇提供有效的孕期评估和咨询途径,提高人群对自然分娩的正确认识和信心,以降低正常孕产妇的剖宫产率。
Objective To explore the effects of the“universal two-child policy”on normal primiparas'childbirth intention and its related influencing factors.Methods A total of 1200 normal primiparas registered in the obstetrics outpatient clinic of the hospital from May 1 to October 30,2016 were enrolled to collect and retrospectively analyze their personal basic information,second child birth intention,expected delivery intentions and so on.Results Among all the enrolled normal primiparas,786 expected vaginal delivery(65.5%);180 expected cesarean delivery(15%);198 chose to follow doctors'advice(16.5%);and the other 36 normal primiparas hadn't considered it or hadn't decided yet(3%).40%of the normal primiparas(480 cases)had a second-child plan,while 35%(420 cases)hadn't had a plan yet.And there was significant correlation between the second-child fertility intention and childbirth intention(P<0.001),which meant that compared with primiparas with one-child birth plan,those longing for two or more children preferred natural birth to cesarean delivery.Conclusion Factors affecting the expected delivery methods of pregnant women included age,average monthly income of the family,second-child birth intention,knowledge of delivery methods,and advice from relatives and friends on delivery.The differences were statistically significant(P<0.05).Therefore,it is recommended that obstetric institutions continue to improve perinatal care and health education system and strengthen pregnant women's childbirth education during pregnancy,so as to provide effective assessment and counseling channels for pregnant women and to improve the population's correct understanding and confidence in natural childbirth,which will help reduce the cesarean delivery rate.
作者
连俊红
熊燕黎
LIAN Junhong;XIONG Yanli(Department of Obstetrics and Gynecology,General Hospital of Central Theatre Commandy of PLA,Wuhan 430070)
出处
《解放军医院管理杂志》
2020年第1期25-27,共3页
Hospital Administration Journal of Chinese People's Liberation Army
关键词
生育意愿
全面二孩政策
分娩意向
fertility intention
universal two-child policy
childbirth intention
