文章摘要
汤 倩,李 琥,顾 洛.南京市妇幼保健院剖宫产率升高的影响因素及应对措施[J].南京医科大学学报(社会科学版),2012,(6):471~473
南京市妇幼保健院剖宫产率升高的影响因素及应对措施
A study on influencing factors and coping measures of rising maternal cesarean section rate in Nanjing Maternal and Child Health Care Hospital
投稿时间:2012-06-28  
DOI:10.7655/NYDXBSS20120616
中文关键词: 孕产妇  剖宫产  影响因素
英文关键词: maternal  cesarean section  influencing factors
基金项目:
作者单位
汤 倩 南京医科大学公共卫生学院,江苏 南京 210029
南京医科大学附属南京市妇幼保健院药剂科,江苏 南京 210004 
李 琥 南京医科大学口腔医学研究所,江苏 南京 210029 
顾 洛 南京医科大学公共卫生学院,江苏 南京 210029 
摘要点击次数: 779
全文下载次数: 802
中文摘要:
      目的:分析南京市孕产妇剖宫产升高的原因及其影响因素?方法:采用整群调查的方式收集南京市妇幼保健院产科2011年1~12月选择剖宫产的4 793名产妇及其家庭成员进行问卷调查?结果:剖宫产指征中社会心理因素占69.27%?经济因素(家庭收入和医疗保险等)占17.24%?医学指征因素占13.49%?高学历?高收入和高龄产妇选择剖宫产术显著高于普通产妇(P < 0.01)?多因素Logistic回归分析显示,与选择剖宫产术相关的危险因素有年龄?受教育程度?家庭收入?医疗保险?婚姻状况?产妇及家庭心理干预?结论:加强孕产妇围产期保健及分娩知识宣教,强化高危人群的筛查和规范化管理,广泛开展无痛分娩和住院服务,正确把握剖宫产指征与时机,将有利于降低剖宫产率?
英文摘要:
      Objective:To analyse the cause of rising maternal cesarean section rate and its influencing factors in Nanjing city. Methods:Cluster sampling was used to collect 4 793 parturient women choosing cesarean section in Nanjing Maternity and Child Care Hospital from January to December,2011 and questionnaire was used to the maternal and their family members. Results:In the indications of cesarean section,social psychology factors accounted for 69.27%,economic factors (family income and health insurance,etc) accounted for 17.24%,medical indications factors accounted for 13.49%. Maternal choosing cesarean section with highly educated or high income or high aged was significantly more than the normal cesarean delivery mothers (P < 0.01). Many factors Logistic regression showed that the related risk factors of choosing cesarean section are:age,education level,family income,medical insurance,marital status,maternal and family psychological intervention. Conclusion:The following measures should be helpful to reduce cesarean section rate:paying attention to delivery knowledge education and perinatal care to parturient women,strengthening the screening of high-risk groups and standardized management,widely conducting painless delivery and hospital services,exactly grasping the cesarean section indications and opportunity.
查看全文   查看/发表评论  下载PDF阅读器
关闭