哈尔滨医药
哈爾濱醫藥
합이빈의약
HARBIN MEDICAL JOURNAL
2015年
4期
266-267,268
,共3页
育龄期妇女%剖宫产%影响因素
育齡期婦女%剖宮產%影響因素
육령기부녀%부궁산%영향인소
Women of childbearing age%Cesarean section%Influencing factors
目的：分析育龄妇女选择剖宫产的影响因素，以利于实施针对性的健康教育，提高育龄妇女对分娩方式的认知水平。方法采用调查问卷对2013年1月至2013年12月于我区8家镇医院分娩的1580位育龄妇女的分娩方式进行调查，统计剖宫产率及产妇选择剖宫产的原因。结果1048例剖宫产，520例阴道分娩，12例阴道助产，剖宫产率达66.33%；选择剖宫产分娩的产妇中，高等教育者显著多于低等教育者，职业劳动量较少者显著多于劳动量较多者，超过35岁的产妇显著多于35岁以下产妇，经产妇与初产妇之间的差异较少。剖宫产及阴道分娩母婴结局的比较无统计学意义（P ﹥0.05）。结论职业文化、年龄、助产技术及社会因素是造成育龄期妇女选择剖宫产的重要原因，提高医护人员的专业水平，对手术指征进行合理控制，有利于降低剖宫产率。
目的：分析育齡婦女選擇剖宮產的影響因素，以利于實施針對性的健康教育，提高育齡婦女對分娩方式的認知水平。方法採用調查問捲對2013年1月至2013年12月于我區8傢鎮醫院分娩的1580位育齡婦女的分娩方式進行調查，統計剖宮產率及產婦選擇剖宮產的原因。結果1048例剖宮產，520例陰道分娩，12例陰道助產，剖宮產率達66.33%；選擇剖宮產分娩的產婦中，高等教育者顯著多于低等教育者，職業勞動量較少者顯著多于勞動量較多者，超過35歲的產婦顯著多于35歲以下產婦，經產婦與初產婦之間的差異較少。剖宮產及陰道分娩母嬰結跼的比較無統計學意義（P ﹥0.05）。結論職業文化、年齡、助產技術及社會因素是造成育齡期婦女選擇剖宮產的重要原因，提高醫護人員的專業水平，對手術指徵進行閤理控製，有利于降低剖宮產率。
목적：분석육령부녀선택부궁산적영향인소，이리우실시침대성적건강교육，제고육령부녀대분면방식적인지수평。방법채용조사문권대2013년1월지2013년12월우아구8가진의원분면적1580위육령부녀적분면방식진행조사，통계부궁산솔급산부선택부궁산적원인。결과1048례부궁산，520례음도분면，12례음도조산，부궁산솔체66.33%；선택부궁산분면적산부중，고등교육자현저다우저등교육자，직업노동량교소자현저다우노동량교다자，초과35세적산부현저다우35세이하산부，경산부여초산부지간적차이교소。부궁산급음도분면모영결국적비교무통계학의의（P ﹥0.05）。결론직업문화、년령、조산기술급사회인소시조성육령기부녀선택부궁산적중요원인，제고의호인원적전업수평，대수술지정진행합리공제，유리우강저부궁산솔。
Objective To analyze factors affected women of childbearing age choose cesarean section,in order to facilitate the implementation of targeted health education,improved the cognitive level of women of childbearing age on mode of delivery. Methods The mode of delivery by questionnaire in 2013 January to 2013 December in the district 8 home town hospital childbirth 1580 women of childbearing age were investigated,statistics of cesarean section rate and maternal selection causes of cesarean section. Results 1048 cases of cesarean section,520 cases of vaginal delivery,12 cases of vaginal delivery,cesarean section rate was 66. 33% ;the choice of caesarean birth mothers,higher education were significantly more than low education,occupation labor less significantly more than the amount of labor is more and more,more than 35 years old is significantly more than the following maternal maternal at the age of 35,the difference between maternal and early maternal less. Cesarean section and vaginal delivery on maternal and neonatal outcomes showed no statistical significance(P ﹥ 0. 05). Conclusion Occupation,age,culture and social factors causing midwifery skills in women of childbearing age is the important reason for the choice of cesarean section,to improve the professional level of the medical staff,the operation indications and rational control,is conducive to reducing the rate of cesarean section.
