300例社会因素剖宫产术分析

Analysis of caesarean section due to social factors: a study of 300 cases.

目的：剖析近年来社会因素剖宫产术急剧上升的主要影响因素，为制定降低社会因素剖宫产术的具体措施提供参考资料。方法：对300例于2004年1-12月在我院因社会因素行剖宫产术的产妇进行问卷式调查。所有病例均为初产妇，单胎头位．无妊娠合并症或并发症。结果：选择社会因素剖宫产术以26—35岁、高学历者、高收入者为主。该人群对剖宫产相关知识的认知率普遍不高。选择社会因素剖宫产术的主要原因为疼痛因素（31．7％）、母儿安全（22．8％）、没信心（13．9％）、家属意愿（12．7％）、医生因素（11．2％）。结论：社会因素剖宫产是复杂的社会问题，受孕产妇和医生的主观意愿影响，降低社会因素所致剖宫产率需要全社会的关注和不懈努力。

Objective： By analyzing the main factors in recent caesarean sectionmdue to social factors make reference to take measure to reduce steadily increasing rate of caesarean without medical indication. Methods： Questionnaires were delivered to 300 singleton occipital -presentation primiparas who underwent caesarean section upon request without diseases or complications in this hospital from January to December in 2004. Results： Caesarean propensity increased in women knew less about caesarean section, who aged 25 to 35 years, high educated or came from high - income family. The reasons for selective cesarean section＇were mostly fear of pain （31.7%）, worry about maternal or neonatal safety （22. 8% ）, no confidence in vaginal delivery （ 13. 9% ）, willingness of family members （ 12. 7% ） and influence of obstetricians （ 11. 2% ） . Conclusion： Increasing rate of caesarean section upon request is a complicated social problem influenced by will- ingness of the pregnant women and obstetricians. It needs social focus and continue works to reduce it.