生育“二孩”的产妇剖宫产原因分析

Analysis of causes of cesarean section among maternal women with “two children”

目的对生育"一孩"和"二孩"产妇的剖宫产原因进行分析,为降低剖宫产率提供依据。方法选取在浙江省宁波市妇女儿童医院产科分娩的3 498名产妇为研究对象,对所有产妇的临床病历资料进行回顾性分析,统计2组产妇的剖宫产情况,对生育"一孩"和"二孩"产妇决定分娩方式的信息来源和剖宫产主要原因进行分析。结果生育"二孩"产妇的剖宫产率高于生育"一孩"的产妇,差异有统计学意义(P <0. 01); 1 668名生育"一孩"的产妇中,有617名(占总数的36. 99%)选择网络、电视或报纸杂志作为最能影响其分娩方式的信息来源; 1 830例生育"二孩"的产妇中,有657例(占总数的35. 90%)选择在孕妇学校学习作为最能影响其分娩方式的信息来源。社会因素、产道或产程异常及胎儿因素是生育"一孩"的产妇剖宫产最为常见的原因;疤痕子宫、妊娠合并症以及社会因素是生育"二孩"产妇剖宫产最为常见的原因。结论生育"二孩"的产妇剖宫产率较高,疤痕子宫、妊娠合并症以及社会因素是生育"二孩"产妇剖宫产最为常见的原因,值得关注。

Objective To analyze the causes of cesarean section among maternal women with“one child”and”two children”,in order to reduce the caesarean section rate.Methods The research focused on 3 498 maternal women from department of gynaecology and obstetrics of ningbo women and children's hospital,and clinical data of all the maternal women were analyzed retrospectively.The conditions of cesarean section between the two groups were statistically analyzed,so were the sources of information of delivery mode for maternal women with“one child”and“two children”and the main causes of cesarean section.Results The cesarean section rate of maternal women with“two children”was apparently higher than that of maternal women with“one child”,and there were significant differences between the two groups(P<0.01).Among 1 668 maternal women with“one child”,the most important sources of information that affected 617(36.99%)maternal women′delivery mode were the Internet,TV,newspaper and magazines.Among 1 830 maternal women with“two children”,the most important sources of information that affected 657(35.90%)maternal women′delivery mode was learning in pregnant women school.Social factors,abnormal stage of labor,birth canal and the factors of fetus were the main causes of cesarean section among maternal women with“one child”.Cicatricial uterine,pregnancy complications and social factors were the main causes of cesarean section among maternal women with“two children”.Conclusion The cesarean section rate of maternal women with“two children”is higher.Cicatricial uterine,pregnancy complications and social factors are the main causes of cesarean section among maternal women with“two children”and need more attention.