长沙市2007～2008年剖宫产率影响因素分析

目的:了解长沙市2007～2008年剖宫产率及探讨其影响因素。方法:随机抽取2013例分娩者的病案首页进行登记,分为剖宫产和非剖宫产进行单因素和多因素Logistic回归分析。结果:在2013例分娩者中,剖宫产率为43.3%,非剖宫产率56.7%。Logisfc回归分析显示导致剖宫产率升高的因素中社会因素的影响强度为第1位,妊娠并发症和胎儿宫内窘迫分别为第2位和第3位。结论:目前长沙市的剖宫产率相当高,除了生物医学因素外,还与社会因素密切相关。

Analysis on effect factors of cesarean section rate from 2007 to 2008 in Changsha

Objective:To understand the cesarean section rate and its effect factors from 2007 to 2008 in Changsha.Methods:The clinical data of 2 013 pregnant women were selected randomly and they were divided into cesarean section group and non-cesarean section group,single factor and multivariate logistic regression analysis were used in the study.Results:Among 2 013 pregnant women,the rates of cesarean section and non-cesarean section were 43.3% and 56.7 %,respectively;the effect intensities of cesarean section rate from high to low were social factors,pregnant complications and fetal distress.Conclusion:At present,the rate of cesarean section is rather high in Changsha,which is related to social factors closely besides biomedical factors.