摘要
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/m^2]、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 investigate the status of cesarean section（CS） and its influencing factors in pregnant women of community population in Haidian district, Beijing. Methods A total of 1 126 puerperal women without pregnancy complications who accepted postnatal care in eight community hospitals were evaluated by questionnaire from Apr. to Oct. 2007. Results 55. 6% of pregnant outcomes were vaginal delivery and 44.4% were CS （among which 40. 2% were induced by social factors）. The result of regression analysis showed that the influencing factors of cesarean section were BMI ≥ 25.0 kg/m^2 , having abortion history, pregnancy weight gain 〉 16kg, the pregnancies themselves and their relatves refusing to choose vaginal delivery, having insufficient acquaintance with the disadvantages of cesarean section, without labor onset at the hospitalization,obtaining no definite suggestion of delivery mode from obstericians, childbearing during working day, neonatal weight 〉 3 500 g. Conclusion The cesarean section rate in pregnant women of Haidian district is in a high level and is affected by multiple factors.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2009年第10期1244-1245,共2页
Chinese Journal of Public Health
基金
首都发展基金(2007-3162)
关键词
分娩方式
剖宫产
妊娠妇女
社区人群
delivery mode
cesarean section
pregnant women
community population
作者简介
宋波（1972-），女，河南永城人，主治医师，硕士，主要从事围产保健工作。通讯作者：方利文
