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[目的]分析延边地区朝鲜族和汉族产妇无手术指征剖宫产的原因.[方法]选择2014年1月至2014年6月间在延边大学附属医院行无手术指征剖宫产术的产妇338例进行分析,其中朝鲜族154例,汉族184例.采用无指征剖宫产原因调查量表,由专人对两组产妇进行一对一专访,完成表格内容并进行比较.[结果]338例无手术指征的剖宫产产妇中原因为择日生产126例(37.28%)、对自然分娩感到恐惧60例(17.75%)、不能忍受自然分娩疼痛46例(13.61%)、高龄初产42例(12.43%),其余为剖宫产安全、方便、无痛苦、珍贵儿、剖宫产对孩子有利、剖宫产对日后性生活有利等原因.汉族和朝鲜族产妇无指征剖宫产原因比较结果显示,朝鲜族择日生产、认为剖宫产对孩子有利为原因者明显多于汉族(P<0.05);汉族不能忍受自然分娩疼痛、认为剖宫产安全无痛苦、珍贵儿等为原因者明显多于朝鲜族(P<0.05).[结论]择日生产、认为剖宫产对孩子有利、不能忍受自然分娩疼痛、剖宫产安全无痛苦及珍贵儿是延边地区产妇无手术指征剖宫产主要原因.
[Objective] To analyze the causes of cesarean section without indications for Korean and Han nationality women in Yanbian area. [Methods] From January 2014 to June 2014, there was no indication of caesarean section in the Affiliated Hospital of Yanbian University 338 maternal women were analyzed, of which 154 cases of Korean, Han 184 cases.Using cesarean section without indications questionnaire, by hand to interview one of the two groups of women to complete the form and compare. [Results] Among the 338 cases without caesarean section, 126 cases (37.28%) were cesarean section, 60 cases (17.75%) were feared for natural childbirth, 46 cases (13.61%) were unable to tolerate spontaneous labor, 42 cases (12.43%), the rest of the cesarean section is safe, convenient, painless, precious children, cesarean section is good for children, cesarean section in the future sex life and other reasons.No indication cesarean section Han and Korean women The causes of production comparison showed that Korean people choose to produce on the same day and think that cesarean section is more beneficial to children than Han people (P <0.05). Han people can not tolerate the pain of natural childbirth, and they think that cesarean section is safe and painless, For the reasons were significantly more than Koreans (P <0.05). [Conclusion] Choice Production, considered beneficial for children cesarean section, can not stand the pain of natural childbirth, cesarean safe and pain and precious child is no indication for surgery in Yanbian maternal cesarean main reason.