CAJ | 학술논문

目的：分析社会因素影响剖宫产的原因，比较不同人群其原因构成之间的差异。方法：采取方便抽样的方法选取符合选入标准的调查对象，并征求被调查者同意后，在其产后住院期间进行面对面、不记名的问卷调查。结果：本次调查中，社会因素剖宫产的比例达占55．8％，主要原因构成有：孕产妇惧怕自然分娩时的疼痛（33．61％）、担心胎儿在分娩过程中发生意外（26．68％）以及对自然分娩的错误认识（头型好、聪明）（22．27％）。单因素分析结果显示，不同年龄、区域、文化程度及生产经历的产妇社会因素剖宫产的原因构成之间的差异具有统计学意义（ P＜0．01）。结论：应开展有针对性的健康干预，增强产妇选择自然分娩的信心，从而降低社会因素剖宫产率。
목적：분석사회인소영향부궁산적원인，비교불동인군기원인구성지간적차이。방법：채취방편추양적방법선취부합선입표준적조사대상，병정구피조사자동의후，재기산후주원기간진행면대면、불기명적문권조사。결과：본차조사중，사회인소부궁산적비례체점55．8％，주요원인구성유：잉산부구파자연분면시적동통（33．61％）、담심태인재분면과정중발생의외（26．68％）이급대자연분면적착오인식（두형호、총명）（22．27％）。단인소분석결과현시，불동년령、구역、문화정도급생산경력적산부사회인소부궁산적원인구성지간적차이구유통계학의의（ P＜0．01）。결론：응개전유침대성적건강간예，증강산부선택자연분면적신심，종이강저사회인소부궁산솔。
Objective:To explore the reasons of Social Factors ( SF) on Cesarean Section ( CS) , and compare the difference among the different pregnant women .Methods:A questionnaire survey was conducted to analyze 476 pregnant women of the floating population who delivered between June , 2010 and June 2012.Results:The rate of SF-CS was 55.8%in this survey, the reasons of which are as fol-lows:fearing for the pain of natural childbirth , Worried about the fetus during childbirth , and the misconceptions of natural childbirth . Univariate analysis results show that the difference in age , regions, cultural levels, production experience among the maternal reason con-stitutes of SF-CS had statistics significance(p<0.01).Conclusion: We should carry out some targeted health interventions and en-hance the confidence of women choosing natural childbirth , so as to reduce the rate of SF -CS.