新疆二胎孕产妇分娩方式现况及其影响因素

The delivery methods for second birth and influencing factors in Xinjiang

目的调查新疆二胎孕产妇分娩方式意愿及最终分娩方式,并分析其分娩方式的影响因素。方法从乌鲁木齐某三级甲等综合医院中随机抽取2所,选择2016年10月-2017年4月在这2所医院妇产科分娩及产检的二胎孕产妇1237例,对其分娩方式意愿及实际分娩方式进行调查,并分析分娩方式的影响因素。结果二胎产妇最终分娩方式中自然分娩为688例(54.62%),剖宫产为549例(45.38%);Logistic回归分析结果显示,年龄、民族、首胎分娩方式、分娩的相关知识、分娩意愿为二胎孕产妇分娩方式的影响因素(均P<0.05)。结论二胎孕产妇具有较高的剖宫产率,个人意愿为分娩方式最主要的影响因素,因此应从加强孕产妇及其家属的分娩知识教育入手,使其在具有科学的分娩知识基础上,具有正确的分娩意愿,从而理性选择合理的分娩方式,进而降低剖宫产率。

Objective To investigate the willingness of delivery methods for second birt hand the actual delivery methods andanalyze the influencing factors. Method The random cluster sampling method was adopted to randomly collect 1,237 women who delivered secondly or took antenatal care in two hospitals between October 2016 and April 2017, surveying their willingness of delivery methods for second birt hand the actual delivery methods. Results In the final delivery method, 688 cases （54.62%） chose natural childbirth and 549 （45.38% ）caesarean section. Logistic regression analysis showed age, nationality, first child delive mode, related knowledge of childbirth, and willingness to give birth were the main factors influencing the method of maternal delivery （all P 〈0.05）. Conclusions The rate of caesarean section is higher for the second-child pregnant women. Individual willing is the most important factor influencing the selection of delivery methods. Therefore, we should enhance the education on the childbirth knowledge to the mothers and their families, helping them to make reasonable choices of delivery methods, for the purpose of reducing the rate of dissection.