CAJ | 학술논문

目的：了解天津市宝坻区常住人口剖宫产的相关影响因素。方法收集天津市宝坻区产妇病历资料394例，分析医源性因素剖宫产和社会因素剖宫产的影响因素。结果医源性因素剖宫产占81.7％，主要医源性因素为剖宫产史（24.8％）、羊水过少（24.8％）、胎头跨耻征阳性（15.8％）等；社会因素剖宫产占18.3％，包括孕妇怕疼（6.9％）、孕妇精神紧张（5.6％）、孕妇家人担心（3.0％）等。年龄、产次和职业是医源性因素与社会因素剖宫产选择的影响因素。结论天津市宝坻区常住产妇剖宫产主要医源性因素为剖宫产史、羊水过少、胎头跨耻征阳性，主要社会因素为孕妇怕疼、孕妇精神紧张、孕妇家人担心；年龄、产次和职业对选择剖宫产有影响。
목적：료해천진시보지구상주인구부궁산적상관영향인소。방법수집천진시보지구산부병력자료394례，분석의원성인소부궁산화사회인소부궁산적영향인소。결과의원성인소부궁산점81.7％，주요의원성인소위부궁산사（24.8％）、양수과소（24.8％）、태두과치정양성（15.8％）등；사회인소부궁산점18.3％，포괄잉부파동（6.9％）、잉부정신긴장（5.6％）、잉부가인담심（3.0％）등。년령、산차화직업시의원성인소여사회인소부궁산선택적영향인소。결론천진시보지구상주산부부궁산주요의원성인소위부궁산사、양수과소、태두과치정양성，주요사회인소위잉부파동、잉부정신긴장、잉부가인담심；년령、산차화직업대선택부궁산유영향。
Objective To identify factors associated with selection of Caesarean section among pregnant woman Baodi District,a rural area of Tianjin City. Methods Data were obtained from the medical records of 394 women who delivered in 2012, and risk factors for Cesarean section with and without medical indications were examined. Results The ratio of cesarean section with a medical indication in Baodi district was 81.7%,including a history of previous Cesarean section (24.8%),oligohydramnios (24.8%),fetal head across the pubic symphysis positive (15.8%).Non-medical reasons accounted for 18.3% of all Cesarean section,including fear of pain (6.9%), nervousness about vaginal delivery (5.6%),over concerns from family members (3.0%). Conclusion The major medical indication for a Cesarean section in Baodi was a history of previous cesarean section,oligohydramnios,fetal head across the pubic symphysis positive.Major non-medical reasons included fear of pain,nervousness about vaginal delivery, over concerns from family members.