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目的:分析近10年农村育龄妇女分娩方式的变化及其原因。方法:采用分层整群抽样的方法对浙江省农村近10年有孕产史的522名育龄妇女进行现场问卷调查。结果:近10年农村剖宫产率呈逐年上升趋势(Z=3.29,P=0.001);选择剖宫产的原因主要是产前检查异常(53.1%)、认为剖宫产更安全(18.2%)和怕痛(13.4%);选择自然分娩的主要原因是产前检查正常(56.5%)和创伤小、恢复快(38.7%)。剖宫产育龄妇女受朋友的影响明显高于自然分娩者(P<0.05),错误的认为剖宫产小孩比较聪明的比例也高于自然分娩者(P<0.05)。结论:建议相关部门加强产前教育,严格把握剖宫产指征,提倡自然分娩,以逐步降低农村剖宫产率,保障母婴健康。
Objective: To analyze the change of delivery mode and its causes in rural women of childbearing age in recent 10 years. Methods: A stratified cluster sampling method was used to conduct a questionnaire survey on 522 women of childbearing age who had a history of motherhood in rural areas of Zhejiang Province in recent 10 years. Results: The incidence of cesarean section in rural areas was increasing year by year in the past 10 years (Z = 3.29, P = 0.001). The reason for choosing cesarean section was prenatal abnormalities (53.1%), safer cesarean section (18.2% ) And fear of pain (13.4%). The main reasons for choosing natural childbirth were normal prenatal examination (56.5%), small trauma and rapid recovery (38.7%). Women of childbearing age at cesarean section were significantly more affected by friends than those with spontaneous deliveries (P <0.05), and mistakenly believed that the proportion of cesarean section children who were clever was higher than that of spontaneous delivery (P <0.05). Conclusion: It is suggested that relevant departments should strengthen prenatal education, strictly grasp indications for cesarean section, and promote natural childbirth in order to gradually reduce the rate of cesarean section in rural areas and ensure the health of mothers and children.