生育政策调整初期正常初产孕妇预期分娩方式及相关因素分析

发布时间：2018-06-16 23:27

本文选题：孕妇 + 分娩　；参考：《中华护理杂志》2016年09期

【摘要】：目的了解生育政策调整初期正常初产孕妇的预期分娩方式及其影响因素。方法于2015年5月-10月对1211例正常孕中期初产孕妇进行问卷调查,收集人口社会学资料、二孩生育意愿、分娩方式态度、阴道分娩自我效能和预期分娩方式等。结果调查对象中74.3%预期阴道分娩,15.3%预期剖宫产,10.4%尚未考虑分娩方式或持不确定态度;有38.5%的女性有再生育意愿。不同年龄、家庭经济收入、二孩生育意愿、建卡就诊方式、分娩方式态度和阴道分娩自我效能的初产孕妇预期分娩方式比较,差异有统计学意义(P0.05)。多因素分析显示,建卡就诊方式、家庭经济收入、分娩方式态度和阴道分娩自我效能水平对初产妇的预期分娩方式均有影响。结论建卡就诊方式、家庭经济收入、分娩方式态度和阴道分娩自我效能是正常初产妇预期分娩方式的主要影响因素。建议产科医疗机构不断完善围产期健康教育体系,从孕早中期开始关注孕妇分娩意向的动态变化,为其提供有效的孕期评估和咨询途径。
[Abstract]:Objective to investigate the expected delivery mode and its influencing factors of normal first delivery pregnant women in the early stage of fertility policy adjustment. Methods A questionnaire survey was conducted in 1211 normal pregnant women in the second trimester of pregnancy from May to October, 2015. The data of population sociology, the desire of second child, the attitude of delivery mode, the self-efficacy of vaginal delivery and the expected delivery mode were collected. Results 74.3% of the respondents expected vaginal delivery 15.3% expected cesarean section 10.4% did not consider the mode of delivery or held an uncertain attitude and 38.5% of the women had the desire to reproduce again. There were significant differences in the expected delivery modes among the pregnant women of different ages, family income, the desire to have children, the way to see a doctor by building cards, the attitude of delivery mode and the self-efficacy of vaginal delivery. The difference was statistically significant (P 0.05). Multivariate analysis showed that the way of building card, family income, attitude of delivery style and the level of self-efficacy of vaginal delivery all had influence on expectant delivery mode of primipara. Conclusion the main factors influencing the expected delivery mode of normal primipara are the way of establishing card, the income of family, the attitude of delivery mode and the self-efficacy of vaginal delivery. It is suggested that the obstetrical medical institutions should improve the perinatal health education system, pay attention to the dynamic changes of the pregnant women's delivery intention from the second trimester of pregnancy, and provide an effective way to evaluate and consult the pregnant women.
【作者单位】：复旦大学附属妇产科医院产科;复旦大学附属妇产科医院护理部;复旦大学附属妇产科医院临床流行病学教研室;
【基金】：上海市卫生和计划生育委员会重要薄弱学科建设项目(2015ZB0303) 复旦大学护理科研基金资助项目(FNF201519)
【分类号】：R473.71

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