131名高龄初产孕妇剖宫产影响因素研究

目的分析影响高龄孕妇剖宫产选择的因素。方法采用一般调查问卷、症状自评量表（SCL-90）,对131名孕晚期高龄初产孕妇进行因素调查,并追踪孕妇的分娩方式,比较剖宫产组与非剖宫产组在孕晚期各因素的差异。结果①131名高龄孕妇剖宫产率为70.2%,北京除西城外的其他城区产妇为77.5%,外地产妇为66.2%,北京西城区为69.2%,北京农村为75.0%（P〉0.05）;②高龄孕妇孕晚期的心理状态较好,心理各项指标大部分小于常模（P〈0.05）;③单因素分析显示,学历和焦虑心理在两组间差异有统计学意义（P〈0.05）;④多因素分析显示,焦虑、人际敏感是孕晚期高龄孕妇选择剖宫产的预测因素。结论和生理、社会因素相比,高龄孕妇孕晚期的心理状态更影响其后期剖宫产的选择。

The Study of the Factors that Influence Cesarean Section of 131 Advanced Maternal Age Pregnant Women

Objectives To analyze the factors that influence the choice of cesarean section of advanced maternal age pregnant women.Methods A general questionnaire and the symptom checklist（SCL-90） were applied to investigate the influence factors of 131 the third trimester high-aged primiparous pregnant women and track their mode of delivery.Results ① The cesarean section rate of the 131 advanced maternal age pregnant women is 70.2%.And the rate is 77.5% for the urban areas except the Xincheng District in Beijing,66.2% for other city,69.2% for Xincheng District of Beijing,and 75.0% for rural areas（P0.05）.②The mental states of third trimester older pregnant women are good.Most psychological scores are less than normal（P0.05）.③Univariate analysis shows that education and anxiety difference between the two groups are statistically significant（P0.05）.④Multivariate analysis shows that anxiety and interpersonal sensitivity are the predictive factors that affect the choice of cesarean section of advanced maternal age pregnant women.Conclusions Compared with physical and social factors,the late pregnancy psychological state affects the choices of advanced maternal age pregnant women more.