中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
CHINESE JOURNAL OF GENERAL PRACTITIONERS
2012年
6期
434-436
,共3页
分娩%剖宫产术%社区卫生服务
分娩%剖宮產術%社區衛生服務
분면%부궁산술%사구위생복무
Parturition%Cesarean section%Community health services
目的 通过对上海市某中心街道2008-2010年分娩的产妇进行调查分析,探讨影响孕妇分娩方式选择的因素.方法 对上海市某中心街道社区卫生服务中心定期随访管理系统中2008年1月1日至2010年12月31日分娩的孕妇进行分娩方式调查.结果 3年中剖宫产率平均为58.3％ (224/384).剖宫产者分娩时年龄≥24岁、职业为脑力劳动者、文化程度为高中及以上、月收入在3000元及以上者的比例分别为73.2％ (164/224)、38.4％( 86/224)、79.5％ (178/224)、80.8％(181/223)都高于阴道分娩者,后者为63.1％(101例)、32.5％(52例)、69.4％(111例)、70.6％(113例),差异有统计学意义(均P＜0.05).33.9％ (20/59)及30.5％(18/59)的孕妇选择剖宫产主要是因为害怕疼痛或分娩失败.结论 精神心理因素成为剖宫产率上升的重要原因,社区医师应当重视社区孕妇产前随访及健康保健咨询工作,降低剖宫产率.
目的 通過對上海市某中心街道2008-2010年分娩的產婦進行調查分析,探討影響孕婦分娩方式選擇的因素.方法 對上海市某中心街道社區衛生服務中心定期隨訪管理繫統中2008年1月1日至2010年12月31日分娩的孕婦進行分娩方式調查.結果 3年中剖宮產率平均為58.3％ (224/384).剖宮產者分娩時年齡≥24歲、職業為腦力勞動者、文化程度為高中及以上、月收入在3000元及以上者的比例分彆為73.2％ (164/224)、38.4％( 86/224)、79.5％ (178/224)、80.8％(181/223)都高于陰道分娩者,後者為63.1％(101例)、32.5％(52例)、69.4％(111例)、70.6％(113例),差異有統計學意義(均P＜0.05).33.9％ (20/59)及30.5％(18/59)的孕婦選擇剖宮產主要是因為害怕疼痛或分娩失敗.結論 精神心理因素成為剖宮產率上升的重要原因,社區醫師應噹重視社區孕婦產前隨訪及健康保健咨詢工作,降低剖宮產率.
목적 통과대상해시모중심가도2008-2010년분면적산부진행조사분석,탐토영향잉부분면방식선택적인소.방법 대상해시모중심가도사구위생복무중심정기수방관리계통중2008년1월1일지2010년12월31일분면적잉부진행분면방식조사.결과 3년중부궁산솔평균위58.3％ (224/384).부궁산자분면시년령≥24세、직업위뇌력노동자、문화정도위고중급이상、월수입재3000원급이상자적비례분별위73.2％ (164/224)、38.4％( 86/224)、79.5％ (178/224)、80.8％(181/223)도고우음도분면자,후자위63.1％(101례)、32.5％(52례)、69.4％(111례)、70.6％(113례),차이유통계학의의(균P＜0.05).33.9％ (20/59)급30.5％(18/59)적잉부선택부궁산주요시인위해파동통혹분면실패.결론 정신심리인소성위부궁산솔상승적중요원인,사구의사응당중시사구잉부산전수방급건강보건자순공작,강저부궁산솔.
Objective To investigate the selection of dilivery of pregnant women and related factors.Methods The selection of delivery modes for pregnant women was investigated by analyzing the associated factors of the infants registered into a computerized health care managing system from January 1,2008 to December 31,2010 at a local community of Shanghai.The information associated with delivery modes of their mothers was collected and the choice of delivery modes investigated through a standardized questionnaire by interviewing the mothers at two months after birth.Results The cesarean section (C/S)rate of pregnant women residing in this local area was 58.3 ％ (224/384).In the C/S group,the percentages of delivery age ≥24 yr,white-collar workers,education level at high school and above and monthly income ≥ 3000 yuan were 73.2％ ( 164/224 ),38.4％ ( 86/224 ),79.5％ ( 178/224 ) and 80.8％ ( 181/224 )respectively.And they were all higher than those of vaginal delivery (63.1％,n =101; 32.5％,n =52;69.4％,n =111; 70.6％,n =113 ).The choices of C/S depended on the existences of maternal,fetal,social-psychological and others factors during pregnancy.Most pregnant women and families who chose C/S without medical indications were afraid of pain ( 33.9％ ) or a failure of vaginal delivery ( 30.5％ ).Conclusions The social-psychological factors of pregnant women are important in the choices of delivery modes.Unnecessary C/S could be reduced by improving their knowledge of delivery with meticulous prenatal health care consultations.
