摘要
目的探讨剖宫产后再次妊娠孕妇和产科医务人员对分娩方式决策的影响因素,为制定剖宫产后再次妊娠孕妇分娩方式决策辅助服务提供依据。方法采用量性研究(问卷调查法)结合质性研究(半结构式访谈法)的方法,对318名剖宫产后再次妊娠孕妇行分娩意愿及原因调查后,对其中的20名孕妇和15名产科医务工作者进行半结构式访谈,用Colaizzi分析法对访谈资料进行分析。结果剖宫产后再次妊娠的分娩方式,暂未考虑者占22%,倾向经阴道分娩者占29.3%,倾向再次剖宫产者占48.7%。医务人员对分娩方式的建议、有无生育保险对剖宫产后再次妊娠孕妇分娩的意愿比较有差异(P<0.05)。通过整理、分析、提炼访谈资料,得到:认知偏差、医疗资源、信息支持三个主题。结论应综合调整影响决策剖宫产后再次妊娠孕妇分娩方式的不合理因素,引导孕妇及家属科学决策。
Objective To explore the factors influencing the decision-making of obstetrical medical staffs and pregnant women after cesarean section,providing basis for the establishment of decision-making support services for pregnant women after cesarean section.Methods This study adopts the mixed research method,the method of quantitative study(questionnaire survey)combined with qualitative research(semi-structured interview),to investigate the delivery intention and causes of 318 women who got pregnant again after cesarean section,among them,20 pregnant women and 15 obstetric medical workers participated in the semi-structured interview,and Colaizzi analysis method was used to analyze the interview data.Results For the way of delivery of the second pregnancy,those who did not consider accounted for 22%,those who preferred vaginal delivery accounted for 29.3%,and those who preferred cesarean section accounted for 48.7%.The medical staff’s suggestions on the delivery mode and the maternity insurance presented a difference in the willingness of pregnant women to give birth after cesarean section(P<0.05).By organizing,analyzing,and refining of interview materials,three themes were emerged:cognitive bias,medical resources,and information support.Conclusions Unreasonable factors affecting the delivery way of pregnant women who have re-pregnancy after cesarean section should be comprehensively adjusted,persuade them into correct decision.
作者
张文娟
许小明
钟际香
侯幸岳
黄晓敏
ZHANG Wen-Juan(Zhuhai campus of the Zunyi Medical university,Zhuhai,Guangdong,519041,China.)
出处
《齐齐哈尔医学院学报》
2019年第16期2041-2044,共4页
Journal of Qiqihar Medical University
基金
珠海市科技计划医疗卫生项目(20171009E030013)
关键词
剖宫产
再次妊娠
分娩方式
决策
Cesarean delivery
Re-pregnancy
Mode of delivery
Decision
