摘要
目的 调查了解社区人群中产妇的分娩知识、对不同分娩方式的态度及最终选择分娩方式的情况.方法 对2007年4～10月在海淀区8所社区医院接受产后保健的1 126例无妊娠合并症及并发症的海淀区户籍初产妇进行产后42天的问卷调查.结果 有60.8%的调查对象对不同分娩方式的优缺点不了解或了解不足.调查对象的分娩知识平均得分仅为4.52±2.12分（总分为8分）.有78.9%的产妇及家属在孕期倾向于自然分娩,而最终有55.8%为自然分娩,44.2%为剖宫产,其中因社会因素剖宫产者占剖宫产者总数的40.2%.调查对象分娩知识得分越高,孕期希望自然分娩的比例越高（t=9.51,P〈0.05）,最终自然分娩率亦越高.结论 大多数产妇的分娩知识缺乏或存在诸多误解;分娩意愿及最终分娩方式的选择与孕妇对分娩知识的了解程度有关;应采取各种有效的手段对孕产妇及社会公众进行更广泛的健康教育.
Objective To investigate knowledge, attitude for different delivery patterns and final choice for delivery patterns of primipaxae among the community population. Methods 1 126 puerperal women who had no pregnancy complications and received postnatal care at the 42th days after delivery in eight community hospitals in Haidian district in a period from Apr. to Oct. in 2007 were investigated with questionnaires. Results 60. 8% of the primiparae investigated knew little or nothing about advantages and disadvantages of different delivery patterns. The average score in delivery knowledge of the primiparae was 4.52 ± 2. 12 （ the full score was 8 ）. 78.9% of the primiparae investigated and their family members preferred vaginal delivery, 55.8% of them finally chose vaginal delivery, while rest 44.2% of them chose cesarean section （CS）. Among primiparae who chose CS, 40.2% of them （accounting for 17.85% of the total） chose CS due to social factors. The investigation also demonstrated that those primiparae who got high scores in delivery knowledge preferred vaginal delivery（t = 9.51, P 〈 0.05 ）, thus the vaginal delivery rate among them was higher than those primiparae who got low scores. Conclusion The majority of the primiparae are lack of delivery knowledge and/or have misunderstandings about delivery knowledge. Maternal preference and final choice for delivery patterns is positively correlated to degrees of knowledge and comprehension about delivery of primiparce of primiparae. Therefore, various effective measures should be adopted to make the pregnant and parturient women and the public in the whole society to receive more comprehensive maternal health education.
出处
《中国妇幼健康研究》
2010年第4期451-453,共3页
Chinese Journal of Woman and Child Health Research
基金
首都发展基金资助项目（2007-3162）
海淀区科委项目（K2008066）
关键词
分娩方式
知识
态度
孕妇意愿
社区人群
delivery pattern
knowledge
attitude
willing of pregnant woman
community population
