摘要
目的探讨嘉兴市秀洲区剖宫产的各种影响因素,制定干预措施,使剖宫产率在合理范围,从而减少产科并发症,保障母婴健康。方法对嘉兴市秀洲区妇保院2007-2011年的剖宫产率,剖宫产指征变化进行回顾性分析。结果通过单因素分析和多因素Logistic回归,得出产妇自身愿意剖宫产、医生建议剖宫产、周围产妇采用剖宫产、新生儿体重、年龄和孕期增重对采用剖宫产具有正向影响,而产次、医生建议自然分娩和产妇自身愿意自然分娩对降低剖宫产具有作用。结论剖宫产率下降停滞,是多方面原因造成的,应加强产妇宣教和孕产妇保健,提高疤痕子宫的阴道分娩率,减少因社会因素而行剖宫产的产妇数量。
Objective To explore the influencing factors of cesarean section in Xiuzhou District,Jiaxing City,to formulate interventions and control the cesarean section rate in a reasonable range so as to reduce obstetric complications and ensure maternal and child health.Methods The cesarean section rate and the changes of cesarean section indications in Maternal and Child Health Hospital of Xiuzhou District,Jiaxing City during the period of 2007-2011 were retrospectively analyzed.Results Univariate and multivariate Logistic regression analyses showed that puerpera＇s will to accept a cesarean delivery,obstetrician＇s suggestion to perform cesarean section,the parturient underwent cesarean section,birth weight of newborn,age and weight gain during pregnancy had a positive impact on performing cesarean section,while parity,obstetrician＇s suggestion to undergo a vaginal birth and puerpera＇s will to undergo a vaginal delivery played a role in reducing the cesarean section rate.Conclusions The stagnation of declining cesarean section rate results from many factors.It is necessary to enhance the publicity,health education and health care among the parturient and increase the vaginal delivery rate among cicatricial uterine pregnancy so as to reduce the quantity of the parturient with cesarean section which results from social factors.
出处
《实用预防医学》
CAS
2013年第6期726-728,共3页
Practical Preventive Medicine
关键词
剖宫产
影响因素
病例对照
Cesarean section
Influencing factors
Case-control study
