摘要
目的从常住人口角度了解近10年北京西城区孕妇剖宫产率变化及其影响因素。方法资料来源于2001—2010年在户籍所在地社区服务中心建立《北京市母子保健健康档案》的西城区常住孕产妇;并将获取孕产妇人口学、孕产期保健和分娩资料录入北京市统一数据库内,分析剖宫产率变化趋势及影响因素。结果 2001—2003年,西城区常住孕妇剖宫产率从54.3%上升到最高为62.1%,2006—2010年剖宫产率持续下降,其中2010年的剖宫产率最低为54.7%。10年平均剖宫产率为57.6%;多因素分析显示,年龄、文化程度以及出生体质量进入回归模型,年龄大者剖宫产率高(P<0.001);与正常体质量儿相比,低体质量儿与巨大儿的产妇剖宫产率均较高(P<0.001);文化程度大学以下者与大学及以上的相比,剖宫产率较高(P<0.001)。结论西城区常住人口剖宫产率2005年以来呈下降趋势,但仍处于较高的水平,高龄、低文化程度以及高、低出生体质量可能影响剖宫产率,多层面的健康教育将有助于降低剖宫产率。
Objective To look into the changes in cesarean section （CS） rates of pregnant women among permanent residents in Xicheng district during the last ten years and to explore the related factors. Methods Data concerning demography, maternal health care and delivery was collected from permanent residents of Xicheng district who had theri files of maternity and child health care records of Peking established in community healfl~ service centers of their originat residence areas between 2001 and 2010. Variation trends of CS and related factors were analyzed. Results CS rate among permanent residents of Xicheng dis-trict increased from 54. 3% to 62. 1% between 2001 and 2003, which decreased continuously to 54. 7% （2010） between 2006 and 2010. Average CS rate during the ten years was 57.6%. Multifactorial analysis showed the entry of factors including age, education and birth weight into mutiple model. Higher CS rates were noticed in cases older in age （P 〈 0. 001 ）, with lower or higher birth weight of the infant （ P 〈 0. 001 ）, and with lower education （ P 〈 0. 001 ）. Conclusion CS rate among permanent residents of Xicheng district has decreased from 2005, but remains at a high level. Factors including older age, lower education, and higher or lower birth weight of the infant might have impact on CS rate which could be lowered by health education from differ- ent aspects.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第24期2770-2772,共3页
Chinese General Practice
关键词
剖宫产术
趋势
影响因素
Cesarean section
Trends
Related factors
