摘要
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(X^2=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％(X^2=21.96,P=0.000002)。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(Y^2=43.64,P<0.00001),工人、干部、职员较其他职业的产妇有较多机会接受剖宫产(X^2=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。
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 as 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 1970s, 1980s and 1990s (χ~2= 22.81, P=0.001) which showed an increasing trend. Rate of C-section among lying-in women with native Beijing origin was 25.0%, significantly higher than 9.6 % (χ~2 = 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 (χ~2 = 43.64, P < 0. 000 01 ). Workers, managerial staff or clerks had more chance to choose Csection than those with other occupations ( χ~2= 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 be carried out for both pregnant women and obstetricians.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2004年第9期799-801,共3页
Chinese Journal of Epidemiology
关键词
北京
医院
产妇
分娩方式
影响因素
调查
Cesarean section
Questionnaire
Intervention
Health education
