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目的:探讨无锡市剖宫产的主要影响因素,为开展前瞻性的干预研究提供科学依据。方法:将2011年8月～10月间在无锡市锡山人民医院分娩的1 024名产妇作为研究对象,开展回顾性问卷调查,采用方差分析、卡方检验、单因素及多因素Logistic回归分析剖宫产的主要影响因素。结果:产妇年龄、孕期增重、产检医生建议、孕期分娩意愿、周围产妇分娩方式等7个变量有统计学意义,是剖宫产的主要影响因素。结论:加强孕期健康教育,引导孕妇树立科学的分娩观,合理控制孕期体重增长和新生儿出生体重,产检医生合理建议是有效降低剖宫产率的关键措施。
Objective: To explore the main influencing factors of cesarean section in Wuxi and provide scientific basis for prospective intervention study. Methods: A total of 1,024 mothers who gave birth in Wuxi Xishan People’s Hospital between August and October of 2011 were investigated retrospectively. The analysis of variance, chi-square test, single factor and multivariate logistic regression analysis Palace of the main factors. Results: The seven variables of maternal age, weight gain during pregnancy, suggestion by medical examiner, willingness of childbirth during pregnancy, and the mode of delivery among the surrounding women were statistically significant and were the main influencing factors for cesarean section. Conclusion: To strengthen the health education during pregnancy, guide pregnant women to establish a scientific view of childbirth, and control the weight gain during pregnancy and the birth weight of newborns reasonably. It is a key measure for cesarean section rate reduction reasonablely.