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目的了解湖南省产妇生产方式及其影响因素,为制订促进自然分娩的干预措施提供依据。方法采用分层整群随机抽样方法,对2011年5月1日—2012年5月1日在湖南省6所不同等级医院分娩的603名产妇进行问卷调查。结果所调查产妇平均年龄为(27.55±4.179)岁,文化程度本科及以上者占28.17%,32.48%有流产史,24.38%为经产妇,剖宫产率为53.89%,自然分娩率为46.11%;每次都能按时接受产前检查者占51.01%,28.88%的产妇产前检查结果异常,17.42%被医生建议剖宫产,12.86%参加孕妇学校;多变量logistic回归结果显示,影响剖宫产的主要因素为产妇期望剖宫产(OR=33.118,90%CI=11.274~95.514)、丈夫期望剖宫产(OR=6.055,90%CI=2.919~13.297)、选择市级医院分娩(OR=1.708,90%CI=1.078~2.932)、医生建议剖宫产(OR=19.851,90%CI=4.666~81.460)。结论目前湖南省的剖宫产率较高,产妇参加孕妇学校、按时接受产前检查的比例也较低,孕妇及其家属的自然分娩相关健康教育工作有待加强。
Objective To understand the maternal production methods and its influencing factors in Hunan Province and provide the basis for formulating interventions to promote natural childbirth. Methods A stratified cluster random sampling method was used to survey 603 pregnant women who gave birth in 6 hospitals of different grades in Hunan Province from May 1, 2011 to May 1, 2012. Results The average age of the surveyed women was (27.55 ± 4.179) years old, with bachelors degree and above accounted for 28.17%, 32.48% with abortion history, 24.38% of the mothers, cesarean section rate was 53.89% and natural delivery rate was 46.11% ; Each time can receive prenatal check on time accounted for 51.01%, 28.88% maternal prenatal examination was abnormal, 17.42% was recommended by the doctor cesarean section, 12.86% attend pregnant school; multivariate logistic regression showed that the impact of the cesarean section The main factors of production were cesarean expectancy (OR = 33.118,90% CI = 11.274 ~ 95.514), husband expecting cesarean section (OR = 6.055,90% CI 2.919-13.297) = 1.708, 90% CI = 1.078 ~ 2.932), the doctor recommended cesarean section (OR = 19.851,90% CI = 4.666 ~ 81.460). Conclusions At present, the rate of cesarean section in Hunan Province is relatively high. The proportion of mothers who attend maternity schools to receive antenatal check-ups on time is also low. Health education for pregnant women and their families regarding natural childbirth needs to be strengthened.