广东省河源市2010-2016年产妇分娩方式及影响因素的调查分析

Investigation and analysis of delivery mode of pregnant women in Heyuan city from 2013 to 2016

目的调查河源市某医院2010-2016年产妇分娩方式,并分析其影响因素。方法选取2010年1月-2016年12月期间河源市妇幼保健院收治的372 641例产妇,记录其分娩方式。分析其一般资料,采用Logistic回归分析产妇分娩方式的影响因素。结果 (1)河源市某医院2010-2016年自然分娩率呈上升趋势,剖宫产率及无医学指征剖宫产率呈下降趋势(P<0.05);阴道助产率无明显变化趋势(P>0.05)。(2)单因素分析显示既往有无剖宫产、产检结果、医生建议、家庭意愿、家庭年收入等是产妇分娩方式的影响因素,进一步采用Logistic回归模型显示产检结果正常、家庭意愿阴道顺产、家庭年收入低于10万产妇倾向阴道分娩,既往有剖宫产、医生建议剖宫产产妇倾向剖宫产。结论 2010-2016年期间,河源市某医院产妇的分娩方式逐渐倾向于自然分娩。且产妇分娩受多种因素的共同影响,建议提高社会对分娩的正确认识,加强健康分娩的教育工作。

Objective To investigate the delivery mode of pregnant women of a hospital in Heyuan City from 2010 to 2016 and to analyze its influencing factors. Methods A total of 372 641 pregnant women in our hospital from January 2010 to December 2016 were enrolled in this study. Their delivery modes were recorded. The general data were analyzed. Logistic regression analysis was used to analyze the influencing factors of the delivery modes. Results（1） The rate of natural childbirth was increaseing from 2010 to 2016 in our hospital in Heyuan City. The rate of cesarean section and the rate of cesarean section without medical indication showed a downward trend（ P 〈0. 05）. There was no significant change in the rate of vaginal delivery showed（ P 〈0. 05）.（2） Univariate analysis showed that cesarean section history,results of prenatal examination,doctor＇s advice,wishes of family,family annual income were the influencing factors of delivery mode. Logistic regression model was further used and showed that the pregnant women with normal results of prenatal examination,the family willing natural delivery and the family annual income less than 10 million preferred to vaginal delivery. The pregnant women who had cesarean section history and received the doctor suggestions to cesarean section preferred to cesarean section. Conclusion During 2010-2016,the delivery mode of the pregnant women in Heyuan preferred to natural childbirth. The delivery modes of pregnant women were impacted by a variety of factors. It is recommended to raise the community＇s correct understanding of childbirth and strengthen the education of healthy childbirth.