社会因素剖宫产的原因及对策分析

目的探究影响社会因素剖宫产的原因，提出降低社会因素剖宫产率的对策。方法回顾性分析我院2010年1月-2011年12月因社会因素行剖宫产术的278例病例，对其社会文化背景和剖宫产原因进行分析比对。结果以社会因素为指征的剖宫产中，产妇恐惧阴道分娩疼痛（占52．52％）和对阴道分娩认识不足（占33．81％）为选择剖宫产的主要原因；高收入、高学历的知识女性是社会因素剖宫产的主要人群。结论应结合孕妇自身的社会经济文化背景，以社会参与为先导，以健康教育为基础，以医疗质量为根本，以改善服务为途径，促进和支持自然分娩，降低社会因素剖宫产率。

Analysis and solutions of cesarean delivery on maternal request

Objective To analyze the cesarean delivery on maternal request（ CDMR）, probe into the reason of rising rate of cesarean section and put forward feasible solutions to lower the cesarean section rate. Methods A review analysis was conducted on 278 cases of cesarean section due to social factors from January 2010 to December 2011. Result The cases of cesarean section due to social were mostly fear of pain （52.52%） and limited knowledge of vaginal delivery （33.81%）. Office ladies with high income and high education background were the majority who choose cesarean section. Conclusion Pertinent measures should be taken based on the specific social factors of pregnant females to support vaginal delivery and lower the rate of cesarean section.