摘要
目的探究影响选择剖宫产的相关因素,为剖宫产率的合理控制提供依据。方法采用病例-对照研究设计,收集山东省某三甲医院妇产科的503名孕产妇的分娩资料(2015年10月至2016年12月)进行单因素及多因素Logistic回归,筛选导致剖宫产的主要因素。结果总剖宫产率为39.56%。导致剖宫产的因素主要有孕产妇年龄(OR=1.21,95%CI:1.10~1.34)、瘢痕子宫(OR=195.14,95%CI:28.27~2482.47)、妊娠高血压(OR=3.89,95%CI:1.35~11.53)、子宫肌瘤(OR=7.38,95%CI:1.01~73.76)、宫内窘迫(OR=107.23,95%CI:17.36~2193.64)、巨大儿(OR=8.21,95%CI:2.88~24.63)、胎儿胎位异常(P<0.01)及社会因素(P<0.01)等。结论合理控制剖宫产指征,消除产妇对自然分娩的顾虑,可以有效地降低剖宫产率。
Objective To explore the influencing factors of cesarean section among pregnant women,so as to provide ba- sis for the rational control of cesarean section rate. Methods A case-control study design was used to collect the clinical data of 503 pregnant women who delivered in the hospital during October 2015 to December 2016. Univariate and multiple logistic regression models were conducted to select the most important factors of cesarean section. Results The total cesarean section rate was 39.56% among pregnant women. The main influencing factors of cesarean section were the age of pregnant women （ OR = 1.21,95% CI ： 1.1-1.34）, scarred uterus （ OR = 195.14,95 % CI： 28.27-2482.47）, gestational hypertension （ OR = 3.89,95 % （21：1.35-11.53）, fibroid （ OR ： 7.38,95 G CI ：1.01-3.76）, fetal distress （ OR = 107.23,95% CI ：17.36-2193.64）,fetal macrosomia （ OR =8.21,95% CI ：2.88-24.63）,abnormal presentation of fetuses （ P 〈0.01） and some social factors （ P 〈0.01）. Conclusion Controlling the indicators of cesarean section positively, eliminating maternal concerns about natural childbirth may effectively reduce cesarean delivery rate in the future.
出处
《预防医学论坛》
2017年第10期741-743,748,共4页
Preventive Medicine Tribune
基金
山东大学公共卫生学院三级学科建设基金
关键词
剖宫产率
影响因素
干预措施
Cesarean section rate
Influential factors
Intervention measures
