摘要
目的:探讨剖宫产后再妊娠孕妇分娩方式选择剖宫产的影响因素。方法:选取80例剖宫产后再妊娠孕妇为研究对象,调查所有孕妇分娩方式意愿,并收集孕妇临床资料,采用Logistic回归分析剖宫产后再妊娠孕妇分娩方式选择剖宫产的影响因素。结果:80例剖宫产后再妊娠孕妇选择剖宫产35例(43.75%),阴道试产45例(56.25%);选择剖宫产孕妇的年龄、户口类型、孕次、宗教信仰、剖宫产次数、工作状况、家庭年收入、配偶分娩方式意愿、产前体质量指数与选择阴道试产孕妇比较,差异均无统计学意义(P>0.05);选择剖宫产孕妇的受教育程度、对阴道试产了解程度、周围剖宫产后再次妊娠阴道分娩(VBAC)案例、医生与孕妇深度沟通占比均低于选择阴道试产孕妇,差异有统计学意义(P<0.05);经Logistic回归分析结果显示,受教育程度在高中及以下、不了解阴道试产、周围无VBAC案例、医生未与孕妇深度沟通均为剖宫产后再妊娠孕妇分娩方式选择剖宫产的影响因素(OR>1,P<0.05)。结论:受教育程度在高中及以下、不了解阴道试产、周围无VBAC案例、医生未与孕妇深度沟通均为剖宫产后再妊娠孕妇分娩方式选择剖宫产的影响因素。
Objective: To explore influencing factors of choice of cesarean section of re-pregnant women after cesarean section. Methods:80 re-pregnant women after cesarean section were selected as the research objects. The desired modes of delivery of these women were investigated,and their clinical data were collected. Logistic regression was used to analyze the influencing factors of the choice of cesarean section of these repregnant women after cesarean section. Results: Among the 80 re-pregnant women after cesarean section, 35(43.75%) chose cesarean section and 45(56.25%) selected vaginal trial delivery. There were no statistical differences in the age, registration place, pregnancy number, religious belief,frequency of cesarean section, work status, annual family income, spouse’s willingness to give birth, prenatal body mass index among the women who chose cesarean section and those who chose vaginal trial delivery(P>0.05). The educational level, understanding of vaginal trial delivery, surrounding vaginal birth after cesarean(VBAC) cases, and in-depth communication rate between the doctor and the pregnant women of the women who chose cesarean section were lower than those who chose vaginal trial delivery, and the differences were statistically significant(P<0.05). The Logistic regression analysis showed that education level of high school or below, not understanding of vaginal trial delivery, no surrounding VBAC cases and lack of in-depth communication between the doctor and the pregnant women were all the influencing factors for the choice of cesarean section of repregnant women after cesarean section(OR>1, P<0.05). Conclusions: The education level of high school or below, not understanding of vaginal trial delivery, no surrounding VBAC cases and lack of in-depth communication between the doctor and the pregnant women are all the influencing factors for the choice of cesarean section of re-pregnant women after cesarean section.
作者
白静
BAI Jing(Department of Obstetrics and Gynecology of The First People’s Hospital of Shangqiu,Shangqiu 476100 Henan,China)
出处
《中国民康医学》
2022年第11期11-13,17,共4页
Medical Journal of Chinese People’s Health
关键词
剖宫产
再次妊娠
分娩方式
影响因素
Cesarean section
Second pregnancy
Mode of delivery
Influencing factor
