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妊娠妇女社会因素剖宫产状况及影响因素分析
引用本文:宋波,方利文,周钰,彭振耀.妊娠妇女社会因素剖宫产状况及影响因素分析[J].中国公共卫生,2010,26(5).
作者姓名:宋波  方利文  周钰  彭振耀
作者单位:1. 中国疾病预防控制中心妇幼保健中心妇保部,北京,100013
2. 北京市海淀区妇幼保健院
基金项目:首都医学发展科研基金,北京市海淀区科委项目 
摘    要:目的了解北京市海淀区社区人群社会因素剖宫产状况及其影响因素。方法2007年4-10月,对海淀区8所社区医院的1 126名接受产后保健的无妊娠合并症及并发症的海淀区户籍初产妇进行问卷调查并进行影响因素分析。结果55.6%初产妇为自然分娩,44.4%为剖宫产,其中,17.8%为社会因素剖宫产,占剖宫产的40.2%;社会因素剖宫产的主要原因为:确保孩子安全(35.9%)、身体差不能承受分娩(34.4%)、怕自然分娩失败再行剖宫产(15.6%)、难以忍受分娩痛(9.4%)等;Logistic回归分析,社会因素剖宫产的影响因素包括:产妇≥30岁、不了解分娩知识、亲朋同事多为剖宫产、孕期没有进行规律运动、孕期增重16 kg、住院时未临产、医生的分娩建议不明确等。结论海淀区社会因素剖宫产率处于较高水平,社会因素剖宫产率受多种因素的影响。

关 键 词:分娩方式  剖宫产  社会因素  妊娠妇女  社区人群

Cesarean section due to social factors and its influencing factors in pregnant women
SONG Bo,FANG Li-wen,Zhou Yu,et al..Cesarean section due to social factors and its influencing factors in pregnant women[J].Chinese Journal of Public Health,2010,26(5).
Authors:SONG Bo  FANG Li-wen  Zhou Yu  
Institution:SONG Bo,FANG Li-wen,Zhou Yu,et al.National Center for Women , Children\'s Health,Chinese Center for Disease Control , Prevention(Beijing 100013,China)
Abstract:Objective To investigate the status of cesarean section(CS) due to social factors and to discuss its influencing factors based on community population in Haidian district,Beijing.Methods Totally 1 126 puerperal women accepted postnatal care without pregnancy complications in eight community hospitals in Haidian district were evaluated with a questionnaire from Apr to Oct,2007.Results Of all subjects 55.6% were vaginal delivery,while 44.4% were CS and among them 40.2% were determined by social factors.The CS...
Keywords:delivery mode  cesarean section  social factor  pregnant women  community population  
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