计划妊娠妇女分娩方式的选择意向调查

Choice Intention Survey of the Delivery Mode in Prepregnant Women

目的:调查计划妊娠妇女对分娩方式的选择意向及其影响因素。方法:选择2011年10月—2013年4月在复旦大学附属妇产科医院孕前门诊就诊的计划妊娠妇女,要求其填写基本信息及分娩意向调查表。将数据录入EpiData数据库进行统计学分析。结果:共500例妇女填写分娩意向调查表,其中有效表格480例。对表格分析发现,计划妊娠妇女选择经阴道自然分娩的有251例(52.29%),选择剖宫产的有57例(11.88%),目前没有考虑的有44例(9.17%),听从医师建议的有124例(25.83%),听从家人和朋友建议的有4例(0.83%)。卡方检验统计分析显示,影响分娩方式选择的因素有年龄、结婚年龄与分娩年龄的间隔长短、文化程度、生育史、是否长期服药,差异有统计学意义。选择经阴道自然分娩和剖宫产的308例计划妊娠妇女听说过导"乐陪伴分娩"的有91例(29.55%),知道无痛分娩优势的有139例(45.13%)。结论:孕前门诊应加强对自然分娩积极有力的宣教指导,以提高计划妊娠妇女对经阴道自然分娩的接受度,降低剖宫产率。

Objective：To investigate the choice intention and influencing factors of delivery mode in women planning for preg nancy. Methods：Women planning for pregnancy were selected to fill in the basic information and delivery intention questionnaire from Oct 2（111 to Apr 2013 in Obstetrics and Gynecology Hospital, Fudan University. Statistical analysis was made by using the EpiData database. Results： A total of 50（I women had completed the questionnaire, including 480 cases of effective forms. Analysis of the forms revealed that the choice of vaginal delivery accounted for 52.29% （251 cases）, the choice of cesarean sec- tion accounted for I1.88% （57 cases）, no consideration accounted for 9. 17% （44 cases）, following the adviees from doctors accounted for 25.83% （124 cases）, following the advices from family and friends accounted for 0.83% （4 cases）. Those who knew the benefits of Doula delivery accounted for only 29.55% （91 cases）,and those who knew the benefits of painless labor accounted for only 45.13% （139 cases） in women who chose vaginal delivery or cesarean section. The chisquare test showed that age, interval length of marriage age and birth age, level of education, childbearing history and whether have long-term me- dication history were significant factors affecting options of delivery mode. Conclusions： Education and prenatal care for prepregnant women should be strengthened to improve the acceptability of vaginal delivery and reduce the rate of cesarean section.