山西省汾阳市非医学指征剖宫产原因调查研究

Investigation of the Cause of Non-medical Indications for Cesarean in Fenyang of Shanxi Province

采取便利抽样方法,对非医学指征剖宫产者选择剖宫产的原因、分娩认知情况进行调查。结果显示,城市组剖宫产的主要原因为:高龄产妇(126/69.61%)、珍贵儿(96/53.04%);农村组:珍贵儿(127/81.82%)、医源性(56/39.16%)。两组分娩认知情况存在差异,如:阴道分娩不是常规要做侧切(P<0.001)、臀位并不是剖宫产的绝对指征(P<0.001)。建议对于城市与农村非医学指征剖宫产者,应有针对性地进行产前教育;医院提高处理难产和助产能力,从而降低剖宫产率。

This article took convenience sampling method to investigate the reason for cesarean, birth cognition of non-medical indications for cesarean. The city caesarean group was mainly due to： advanced maternal age （126/69. 61%）, precious child （96/53.04%） ;rural groups： precious children （127/81.82%）, iatrogenie （56/39.16%）. The two groups differed on the delivery of cognition, such as： vaginal delivery is not routinely done lateral （P〈0. 001）, breech presentation is not an absolute indication for cesarean （P〈0. 001）. It should be targeted for prenatal education for the urban and rural non-medical indications for cesarean. We should improve the ability to handle childbirth and midwifery.