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目的:分析时代变迁对80后孕妇分娩方式选择的影响,探讨分娩观念转变的原因。方法:回顾性分析2008年天津医科大学总医院1787例产妇的资料,内容包括分娩方式、剖宫产指征、妊娠结局并对相关指标进行分类统计比较。结果:80前与80后产妇分娩方式的构成差异无统计学意义(P>0.05);两组各剖宫产指征构成比,社会因素80后组高于80前组(P<0.05)、瘢痕子宫80前组高于80后组(P<0.01),差异均有统计学意义,余手术指征两组构成差异无统计学意义(P>0.05)。80前试产产妇会阴裂伤率为15.98%,高于80后组,差异有统计学意义(P<0.05)。其它不良妊娠结局差异无统计学意义(P>0.05)。结论:时代变迁对分娩方式的构成尚无影响,但剖宫产指征发生了明显的变化,以社会因素为由的手术产率升高,反映了80前后分娩观念的转变。提示针对不同时期孕妇的特点,科学地处理分娩事件,顺应时代、响应政策、提高产科质量。
OBJECTIVE: To analyze the impact of changes in the times on the choice of mode of delivery in post-80s pregnant women and to explore the reasons for the change in the concept of delivery. Methods: A retrospective analysis of 2008 Tianjin Medical University General Hospital 1787 cases of maternal information, including delivery mode, cesarean section indications, pregnancy outcomes and related indicators of statistical classification. Results: There was no significant difference in the mode of delivery between pre-80 and post-80 (P> 0.05). The proportions of cesarean section indications in both groups were higher than those in pre-80 group (P <0.05) There was no significant difference between the two groups (P> 0.05). The difference between the two groups was statistically significant (P> 0.05). The incidence of episiotomy perineum was 15.98% before 80 trial, which was significantly higher than that of the latter 80 (P <0.05). Other adverse pregnancy outcomes were not statistically different (P> 0.05). CONCLUSION: The changes in the times have no effect on the mode of delivery, but the changes of cesarean section indications have changed obviously. Surgical productivity increased due to social factors, which reflects the change of birth and delivery concepts. Prompt for different periods of pregnant women, scientifically handle the events of delivery, conform to the times, respond to policies, improve the quality of obstetrics.