影响瑞安市产妇无痛分娩率的现状调查分析

Survey of Painless Delivery in Ruian City

目的探讨瑞安市产妇无痛分娩率较低的人口统计学和心理社会因素,为有关部门制定有效的干预措施提供科学依据。方法采用整群抽样方法抽取2010年6～9月在瑞安市妇幼保健院住院分娩1620例产妇作为研究对象,其中200例产妇实施无痛分娩。对所有产妇进行面对面问卷调查,调查内容包括人口统计学变量和分娩意愿等心理社会因素。结果无痛分娩率为23.4%。无痛分娩与某些人口学特征(如学历、职业、受教育程度、收入、居住地、有无医疗保险等)有统计学关联,还和产妇对无痛分娩的认识有关。经单因素分析后选出P<0.05的变量进行多因素分析,结果显示,产妇的较高学历、白领职业、参加了医保以及产妇对于无痛分娩的安全认识是无痛分娩的保护因素。结论可诊断产妇人口统计学特征以及为无痛分娩的认识开展健康教育,促进无痛分娩的开展,提高自然分娩率。

Objective To understand the incidence of painless delivery rate of Ruian city and to explore some factors affecting the lower painless rate in an attempt to provide a scientific basis for effective interventions to the relevant departments. Methods We used a method of randomly chester sampling to select 1620 cases from our hospital, in which a retrospective analysis of painless delivery was made in 200 cases. Results At present, the painless delivery rate was 23.4%, and such a low painless delivery rate was closely related to some demographic characteristics （ such as educational background, occupation, educational level, income, residence, etc. ） and was also related to maternal awareness of the painless delivery. Conclusion Popularization of painless delivery knowledge, correct understanding of its pros and cons and strict control of cesarean section indication are expected to reduce the rate of cesarean section to promote painless delivery.