湖南省怀化市剖宫产率分布情况及影响因素分析

Distribution of cesarean section and its effect factors in Huaihua

目的了解怀化市剖宫产率分布情况及相关因素,为控制剖宫产率提供科学决策依据。方法回顾性收集2013年1-12月《怀化市住院分娩登记表》资料中分娩产妇资料,了解剖宫产相关情况,并对可能的影响因素进行多元回归分析。结果共收集住院分娩产妇52 818人,剖宫产率47.22%。产妇年龄、孕周、多胎、产次、孕次、产科合并症及并发症;新生儿性别、体重;产妇户口类型;分娩机构级别、性质均会对剖宫产率产生影响。其中产妇年龄>34岁(OR=2.372)、新生儿体重≥4000g(OR=2.283)、市级分娩机构(OR=1.854)对剖宫产率的影响最大。结论高龄产妇、新生儿体重过大、分娩机构级别对该地区剖宫产率影响最大,建议通过加强宣传教育和规范医院管理,从而降低剖宫产率。

Objective Tounderstandcesarean section rate and its effect factors of Huaihua,provide the basis for government’s decision-making. Method To collect the data of delivery womenthroughhospital birth registerform Januaryto December of 2013 retrospectively,calculate the rate of cesarean section and analyzerelated influencing factors by multiple regression analysis. Result The total of 52 818 delivery women were collected,the rate of cesarean section was 47. 22%. The influencing factors of cesareansection rate were maternal age,gestational age,multiplepregnancy,parity,times of pregnancy,obstetriccomplications,neonatal sex,maternal body weight,type of residence,levels oflabor organization assessment level. The most influential factor were maternalage（ OR =2. 372）,neonatal birth weight（ OR = 2. 283）,levels of labor organization（ OR = 1. 854）. Conclusion The cesarean rate was still at a high level. To reduce cesarean section rate,we should enhance the publicity and educationand hospital management.