| 高淑云,荆瑞巍,金莲梅,徐昌.北京市某医院415例产妇分娩方式及影响因素的调查[J].Chinese journal of Epidemiology,2004,25(9):799-801 |
| 北京市某医院415例产妇分娩方式及影响因素的调查 |
| A questionnaire investigation on the way of delivery and its related factors in 415 women at child bearing age in one hospital |
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| DOI： |
| KeyWord: 剖宫产|问卷调查|干预|健康教育 |
| English Key Word: Cesarean section|Questionnaire|Intervention|Health education |
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| Abstract: |
| 目的 了解北京市20世纪70年代以来产妇分娩方式变化趋势, 探讨可能影响育龄妇女对剖宫产的认识、态度的因素. 方法 采用面对面、不记名的问卷调查方式, 对415例在北京天坛医院妇科门诊就诊的、有既往生育史的育龄妇女进行调查, 询问其最近一次分娩的时间、地点和方式, 以及对剖宫产的认识、态度及影响因素. 结果 2000年以来该院的产妇剖宫产率平均为29%, 明显高于自20世纪70、80和90年代的剖宫产率(χ2=22.81, P=0.001), 且至今仍呈上升趋势. 北京市户籍产妇和非北京市户籍产妇的剖宫产率分别为25.0%和9.6%(χ2=21.96, P=0.000 002). 高中及以上学历的产妇比低文化程度的产妇有较多机会接受剖宫产(χ2=43.64, P＜0.000 01), 工人、干部、职员较其他职业的产妇有较多机会接受剖宫产(χ2=20.07, P=0.01). 有93%(70/75)的剖宫产系医生主动提出来施行的. 结论 目前产妇剖宫产率较高. 有必要对医生和产妇进行健康教育, 减少不必要的剖宫产. |
| English Abstract: |
| Objective To understand the changing trend on the way of delivery since 1970s and its related factors that influencing the attitude of choice on Cesarean section (C-section) in women at child-bearing age. Methods A face-to-face interview was conducted anonymously in pregnant and lying-in women visited at the out-patient department of Gynecology and Obstetrics, Tiantan Hospital of Beijing. Totally, 415 women at child-bearing age, with a history of previous birth were interviewed on date, place and way of delivery of last birth, as well a, on information that could have had impact on the choice of C-section. Results The average rate of C-section in Taintan Hospital had been 29%since the year of 2000, much higher than that during 1970x, 1980s and 1990.(χ2=22.81, P=0.001 )which showed an increasing trend. Rate of C-section among lying-in women with native Beijing origin was 25%, significantly higher than 9.6%(χ2=21.96, P=0.000 002) that in the migrants. Lying-in women with education level of high school or above had higher chance to choose C-section than those with lower level of education (χ2=43.64, P<0.000 01). Workers, managerial staff or clerks had more chance to choose C-section than those with other occupations(χ2=20.07, P=0.01).As reported by the interviwees, 93% (70/75) of C-section in the hospital were performed and recommended by obstetricians. Conclusion Rate of C-section in the hospital showed an increasing trend which suggested that intervention with health education he carried out for both pregnant women and obstetricians. |
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