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目的了解北京市海淀区社区医院孕产妇剖宫产状况并探讨其影响因素。方法2007年4-10月,在海淀区8所社区医院对接受产后保健的1126名无妊娠合并症及并发症的本地户籍初产妇在产后42 d内进行问卷调查。结果55.6%的产妇为自然分娩,44.4%为剖宫产,其中社会因素剖宫产占剖宫产的40.2%;经Logistic回归分析发现,剖宫产的影响因素包括孕前体质指数[(BM I)≥25.0 kg/m2]、孕前流产史、孕期体重增长>16 kg、孕妇及家属不希望自然分娩、对剖宫产弊端了解不足、孕妇住院时未临产、医生的分娩建议不明确、分娩时间在8:00~17:00、新生儿体重>3 500 g等。结论海淀区剖宫产率处于较高水平,高剖宫产率受多种因素影响。
Objective To understand the status of cesarean section in community hospitals in Haidian District, Beijing and to explore the influencing factors. Methods From April to October 2007, 1126 local primiparous primiparous women with non-pregnancy complications and complications receiving postpartum health care were surveyed in 42 community-based hospitals in Haidian District within 42 days after delivery. Results 55.6% of mothers were spontaneous delivery and 44.4% of them were cesarean. Social factors cesarean section accounted for 40.2% of cesarean section. Logistic regression analysis showed that factors affecting cesarean section included pre-pregnancy body mass index [(BM I ) ≥25.0 kg / m2], history of miscarriage before pregnancy, weight gain during pregnancy> 16 kg, pregnant women and their families do not want natural childbirth, lack of understanding of the disadvantages of cesarean section, pregnant women not hospitalized during hospitalization, the doctor’s advice of childbirth is not clear, From 8:00 to 17:00, newborns weighing> 3500 g and so on. Conclusion The cesarean section rate in Haidian district is at a high level, and the high cesarean section rate is affected by many factors.