摘要
目的探讨上海市瘢痕子宫孕妇对妊娠风险的知晓情况及影响因素。方法采用分层方便抽样的方法,对上海市8个区29家社区卫生服务中心600名早孕建册的剖宫产瘢痕子宫孕妇进行问卷调查。结果回收有效问卷583份,前次剖宫产有医学指征的占78.9%,对前次分娩前妊娠风险分类评估结果知晓率仅为27.8%。职业为公司职员、文化程度为初中及以下和前次分娩孕周≥37周的人群对前次分娩前妊娠风险分类评估结果知晓率较低(OR=2.265,P=0.008;OR=0.454,P=0.011;OR=2.013,P=0.023),瘢痕子宫再次妊娠风险知识知晓的正确率仅为38.7%。结论应当提高妇幼专业队伍对瘢痕子宫孕产妇妊娠风险的重视程度,严格控制非医学指征的剖宫产,加强瘢痕子宫人群管理,加大妊娠风险宣教力度,切实保障母婴安全。
Objective To investigate the pregnancy risk awareness and influencing factors of pregnant women with scar uterus in Shanghai City.Methods The stratified convenient sampling method was used to conduct the questionnaire survey among 600 early pregnant women with scar uterus due to cesarean section established the file in 29 community health service centers of 8 districts in Shanghai City.Results A total of 583 valid questionnaires were recovered.78.9%of the previous cesarean section with medical indications accounted for 78.9%,and the awareness rate of pregnancy risk classification assessment results before the previous delivery was only 27.8%.The populations of the company employees,cultural degree of junior high school and below and gestational age≥37 weeks in the previous delivery had a low awareness of pregnancy risk classification assessment results before the previous delivery(OR=2.265,P=0.008;OR=0.454,P=0.011;OR=2.013,P=0.023).The accuracy rate of knowing the risk of second pregnancy of scar uterus was only 38.7%.Conclusion The women and children professional team should pay more attention to the pregnancy risk of cicatricial uterus,strictly control the non-medical indication cesarean section,strengthen the management of the population with scar uterus,increase the publicity and education intensity of pregnancy risk,and practically guarantee the safety of mother and child.
作者
沈心荷
胡淑怡
李力
张蓉
杜莉
SHEN Xinhe;HU Shuyi;LI Li;ZHANG Rong;DU Li(Shanghai Municipal Center for Women and Children′s Health Care,Shanghai 200062,China;Department of Obstetrics and Gynecology,Army Characteristic Medical Center,Chongqing 400042,China)
出处
《重庆医学》
CAS
2022年第2期320-325,共6页
Chongqing medicine
基金
上海市妇女儿童健康服务能力规划项目(沪卫计[2016]21号)
第五轮公共卫生体系建设三年行动计划项目(GWV-9.4)
上海市公共卫生体系建设三年行动计划优秀学科带头人项目(GWV-10.2-XD08)。
关键词
瘢痕子宫孕妇
剖宫产
妊娠风险
影响因素
问卷调查
pregnant women with scar uterus
cesarean section
pregnancy risk
influencing factor
questionnaire survey
