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目的分析江西省孕妇分娩意愿及实际分娩方式,为政府制定相关政策提供科学依据,以有效降低我省剖宫产率。方法采用横断面研究的方法,对2013年10-12月在调查医院分娩的孕产妇进行面对面询问调查。结果 12 143名产妇中,4 752名产妇行剖宫产术,剖宫产率为39.1%;超过3/4的孕妇、配偶及其父母产前均希望阴道分娩;仅约半数的孕妇产前接受了分娩知识宣教;孕妇产前意愿选择剖宫产的有94.2%实施了剖宫产,而意愿选择阴道分娩的有21.8%实施了剖宫产手术,差异有统计学意义(P<0.01);意愿选择剖宫产的孕妇中仅50.9%有剖宫产医学指征,其次主要原因是怕痛,选择阴道分娩的主要原因是认为这是一个自然过程,无需剖宫产。结论目前江西省剖宫产率较高,孕妇自身意愿影响了剖宫产率;孕妇是否接受产前教育对剖宫产意愿无影响,社会因素导致孕妇意愿选择剖宫产的比例较高。应加强孕妇学校的建设,提高产前宣教质量,改变孕妇及家属的观念,以降低剖宫产率。
Objective To analyze the willingness of delivery and the actual mode of delivery of pregnant women in Jiangxi Province and provide a scientific basis for the government to formulate relevant policies in order to effectively reduce the cesarean section rate in our province. Methods The method of cross-sectional study was used to investigate face-to-face interviews with pregnant women who gave birth in the investigation hospital from October to December in 2013. Results Among the 12 143 women, 4 752 women underwent cesarean section with a cesarean section rate of 39.1%. For more than 3/4 pregnant women, both spouses and their parents wanted vaginal delivery during their prenatal period. Only about half of pregnant women had antenatal Received cessation of knowledge and education; pregnant women choose cesarean prenatal intention to 94.2% of the implementation of cesarean section, and the desire to choose vaginal delivery of 21.8% of the implementation of cesarean section, the difference was statistically significant (P <0.01) ; Only 50.9% of pregnant women wishing to choose cesarean section have cesarean section medical indications, followed by the main cause of fear of pain, the main reason for choosing vaginal delivery is that this is a natural process without cesarean section. Conclusions At present, there is a high rate of cesarean section in Jiangxi Province, and pregnant women’s own will affect the rate of cesarean section. Whether pregnant women receive prenatal education has no effect on the intention of cesarean section, and social factors lead to a higher proportion of pregnant women who choose cesarean section. Should strengthen the construction of pregnant women schools, improve the quality of prenatal education, change the concept of pregnant women and their families to reduce the rate of cesarean section.