中国妇幼健康研究
中國婦幼健康研究
중국부유건강연구
Chinese Journal of Woman and Child Health Research
2015年
4期
682-684
,共3页
剖宫产%社会经济%心理因素%政策建议
剖宮產%社會經濟%心理因素%政策建議
부궁산%사회경제%심리인소%정책건의
cesarean section%socioeconomic%psychological factors%policy proposal
目的 了解广州地区孕妇分娩方式选择的社会经济及心理因素. 方法 采用横断面调查,对2014年4至9月符合要求的研究对象进行匿名问卷调查,主要调查内容为其倾向的分娩方式及原因,并对结果进行分析. 结果 经多因素Logistic回归分析结果显示,孕妇年龄大(OR=0.01,P<0.01)、配偶学历高(OR=0.39,P<0.05)、配偶收入高(OR=3.42,P<0.05),孕妇越容易选择剖宫产. 选择自然分娩的心理因素为:是自然的分娩方式(94.0%)、住院时间比较短(90.9%)、对小孩比较安全(87.9%)、方便母乳喂养(84.9%)和对产妇比较安全(84.9%);选择剖宫产的理由:可以选择小孩出生时间(89.5%)、产检医生的建议(84.2%)、担心自然分娩失败受两重罪(79.0%)、可让小孩少受罪(68.5%)、害怕疼(61.1%). 结论 孕妇年龄大、配偶收入高、配偶学历高者易选择剖宫产分娩,心理因素也是影响分娩方式选择的重要原因.
目的 瞭解廣州地區孕婦分娩方式選擇的社會經濟及心理因素. 方法 採用橫斷麵調查,對2014年4至9月符閤要求的研究對象進行匿名問捲調查,主要調查內容為其傾嚮的分娩方式及原因,併對結果進行分析. 結果 經多因素Logistic迴歸分析結果顯示,孕婦年齡大(OR=0.01,P<0.01)、配偶學歷高(OR=0.39,P<0.05)、配偶收入高(OR=3.42,P<0.05),孕婦越容易選擇剖宮產. 選擇自然分娩的心理因素為:是自然的分娩方式(94.0%)、住院時間比較短(90.9%)、對小孩比較安全(87.9%)、方便母乳餵養(84.9%)和對產婦比較安全(84.9%);選擇剖宮產的理由:可以選擇小孩齣生時間(89.5%)、產檢醫生的建議(84.2%)、擔心自然分娩失敗受兩重罪(79.0%)、可讓小孩少受罪(68.5%)、害怕疼(61.1%). 結論 孕婦年齡大、配偶收入高、配偶學歷高者易選擇剖宮產分娩,心理因素也是影響分娩方式選擇的重要原因.
목적 료해엄주지구잉부분면방식선택적사회경제급심리인소. 방법 채용횡단면조사,대2014년4지9월부합요구적연구대상진행닉명문권조사,주요조사내용위기경향적분면방식급원인,병대결과진행분석. 결과 경다인소Logistic회귀분석결과현시,잉부년령대(OR=0.01,P<0.01)、배우학력고(OR=0.39,P<0.05)、배우수입고(OR=3.42,P<0.05),잉부월용역선택부궁산. 선택자연분면적심리인소위:시자연적분면방식(94.0%)、주원시간비교단(90.9%)、대소해비교안전(87.9%)、방편모유위양(84.9%)화대산부비교안전(84.9%);선택부궁산적이유:가이선택소해출생시간(89.5%)、산검의생적건의(84.2%)、담심자연분면실패수량중죄(79.0%)、가양소해소수죄(68.5%)、해파동(61.1%). 결론 잉부년령대、배우수입고、배우학력고자역선택부궁산분면,심리인소야시영향분면방식선택적중요원인.
Objective To investigate the socioeconomic and psychological factors of pregnant women in selecting delivery mode.Methods A cross sectional survey was conducted from April to September in 2014 with anonymous questionnaires among subjects meeting the requirement, including their preferred delivery mode and the reasons for that.Data analysis was then conducted.Results Multiple Logistic regression analysis showed that pregnant women who were older (OR=0.01,P<0.01), whose husbands were higher educated (OR=0.39,P <0.05 ) and whose husbands had high income ( OR =3.42, P <0.05 ) were more likely to choose cesarean section.The psychological factors of selecting natural delivery were delivery being natural (94.0%), shorter hospital stay (90.9%), safer for baby (87.9%), more convenient for breastfeeding (84.9%) and safer for mother (84.9%).The main reasons for preferring cesarean section were better control of birth time (89.5%), recommendation of doctors for antenatal examination (84.2%), worrying about secend suffering at the case of vaginal delivery failure (79.0%), baby suffering less (68.5%), and fear of pain (61.1%).Conclusion Factors associated with high preference for cesarean delivery are older age, husband' s higher income and higher education.Psychological factors are also the important reasons affecting preference of women for delivery.