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目的了解孕妇对不同分娩方式的认知情况、分娩方式的选择意向及其影响因素。方法采取便利抽样法对在昆明市妇幼保健院参加孕妇大课堂培训的296名孕妇进行问卷调查。结果孕妇关于分娩相关知识的信息主要来源于网络和孕妇课堂,分别占36.48%和31.42%,且学历对信息获取方式有影响;孕妇对分娩相关知识的总知晓率为69.49%,对剖宫产对母婴安全的影响知晓率较低,学历对知晓程度有显著影响;73例孕妇(24.66%)有选择剖宫产分娩的意向;居住地、年龄、职业、学历、孕周、家庭经济收入、医疗费用支付方式等对孕妇剖宫产分娩意向的选择无显著影响。结论应加强针对孕产妇及其家属开展的分娩相关知识宣教工作,充分发挥产科医生和孕妇学校的作用,尽可能地帮助孕妇根据自身情况合理选择分娩方式,有效减少社会因素剖宫产。
Objective To understand the pregnant women ’s cognition of different modes of delivery, the intention of choice of delivery mode and its influencing factors. Methods A sample survey of 296 pregnant women who participated in the training of pregnant women in Kunming MCH was conducted by means of convenience sampling. Results The information of pregnant women about birth-related knowledge mainly came from the internet and pregnant women’s classes, accounting for 36.48% and 31.42% respectively, and the academic record had an impact on the way of obtaining information. The total awareness of pregnant women about the birth-related knowledge was 69.49% The awareness rate of maternal and child safety was low, and the academic record had a significant effect on the level of awareness. 73 pregnant women (24.66%) had the intention of choosing cesarean delivery; the age, occupation, education level, gestational age and family income , The payment of medical expenses and other options on the intention of cesarean delivery of pregnant women had no significant effect. Conclusion It is necessary to strengthen the propaganda of childbirth related knowledge for pregnant women and their families, give full play to the roles of obstetricians and pregnant women schools, and try their best to help pregnant women choose the mode of delivery according to their own conditions and effectively reduce the social factors of cesarean section.