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目的:探讨乙型肝炎病毒(HBV)感染孕妇分娩方式的意愿及对剖宫产率的影响。方法:对117例住院待产的HBV感染孕妇进行问卷调查。结果:有77例(65.81%)愿意优先选择自然分娩,有40例(34.19%)优先选择剖宫产。产前有自然分娩意愿的剖宫产率是46.75%(36/77),产前有剖宫产意愿的剖宫产率是90.00%(36/40);排除产前有剖宫产指征的33例孕妇,其产前分娩意愿对实际分娩结局有影响,差异有统计学意义(χ2=8.354,P=0.04);选择剖宫产的前4位原因是认为会减少母婴传播,对母婴更安全,担心试产失败和对宫缩痛的恐惧。结论:孕妇的产前分娩意愿对剖宫产率有影响。建议加强孕期和产前的宣教指导,做好HBV母婴传播阻断工作,澄清她们在分娩方式上的片面认识,改善产时服务,减轻分娩痛苦,严格掌握剖宫产指征,注重对孕妇科学合理地引导,有利于降低剖宫产率。
Objective: To investigate the willingness of pregnant women with hepatitis B virus (HBV) infection to give birth and the effect on cesarean section rate. Methods: A questionnaire survey was conducted on 117 pregnant women with HBV infection who were hospitalized. Results: 77 cases (65.81%) were willing to give priority to spontaneous labor and 40 (34.19%) gave priority to cesarean. The rate of cesarean section with prenatal spontaneous delivery was 46.75% (36/77), the rate of cesarean section with antenatal cesarean delivery was 90.00% (36/40) (Χ2 = 8.354, P = 0.04). The first four reasons for choosing cesarean section were that they would reduce the mother-to-child transmission, and the difference was statistically significant Maternal and child safety, fear of trial failure and contractions pain fear. CONCLUSIONS: Willingness of prenatal delivery of pregnant women has an impact on cesarean section rate. Proposed to strengthen the prenatal and postnatal mission guidance, doing a good job of blocking the mother-to-child transmission of HBV, to clarify their one-sided understanding of the mode of delivery, improve delivery services, reduce labor pain, strict cesarean indications, focus on pregnant women Scientific and reasonable guidance is conducive to reduce the cesarean section rate.