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目的:了解浙江省农村育龄妇女分娩方式与健康状况的关系,提高母婴健康水平。方法:采用分层整群抽样法调查2000～2010年浙江省6个样本村的522例农村育龄妇女的分娩方式和育龄妇女及儿童的健康状况。结果:剖宫产术的母亲两周患病率高于自然分娩者,产后恢复和总体健康状况较自然分娩者差,差异均有统计学意义;剖宫产术的儿童总体健康状况较自然分娩者差,住院率高于自然分娩者。剖宫产的纯母乳喂养率和泌乳量均低于自然分娩者。结论:通过相关部门和整个社会的共同努力,大力提倡自然分娩,最大限度地减少非必须剖宫产术,降低剖宫产率,保障母婴的整体健康水平。
Objective: To understand the relationship between delivery mode and health status of rural women of childbearing age in Zhejiang Province, and to improve their health. METHODS: The stratified cluster sampling method was used to investigate the mode of delivery and the health status of women and children of childbearing age in 522 rural women of child-bearing age in 6 sample villages in Zhejiang Province during 2000-2010. Results: The prevalence of mothers in cesarean section was higher than that in spontaneous delivery, the postpartum recovery and overall health were worse than those in spontaneous delivery, the differences were statistically significant. The overall health status of cesarean section children was more spontaneous Poor, hospitalization rate is higher than natural childbirth. Cesarean section of the exclusive breastfeeding rate and the amount of lactation are lower than the natural childbirth. Conclusion: Through the joint efforts of relevant departments and society as a whole, we strongly advocate natural childbirth, minimize unnecessary caesarean section, reduce cesarean section rate and ensure the overall health of mothers and babies.