高龄初产妇分娩镇痛意愿及影响因素分析

Analysis of the willingness and the influencing factors of the labor analgesia of advanced primiparas

目的:了解高龄初产妇分娩镇痛意愿现状并分析影响因素。方法:于2022年2月-2023年9月,便利选取在海安市人民医院进行产前检查532名高龄初产妇作为调查对象,评估其对分娩镇痛的选择意愿并分析影响因素。结果:在所有受访对象中201例(占37.8%)高龄初产妇有选择分娩镇痛意愿。多因素分析结果显示,本科及以上学历(OR=2.765,95%CI 1.181~6.473)、有医学教育背景(OR=2.045,95%CI 1.305~3.203)、配偶支持(OR=3.021,95%CI 1.329~6.868)、疼痛恐惧(OR=1.813,95%CI 1.015~3.239)及获取过分娩镇痛知识(OR=2.867,95%CI 1.043~7.882)的人群更愿意选择分娩镇痛。结论:医疗机构专业人员应加强孕产妇分娩镇痛相关知识的宣教,积极推动分娩镇痛的普及率。

Objective:To understand the current situation of the labor analgesia willingness of advanced primiparas,and to analyze the influencing factors of the labor analgesia willingness of the advanced primiparas.Methods:From F ebru-ary 2022 to September 2023,532 advanced primiparas who underwent prenatal examinations atHaian People's Hospital were selected as survey subjects by convenience sampling method.The labor analgesia willingness of these primiparas was evaluated and the influencing factors of the labor analgesia willingness of these primiparas were analyzed.Results:Among all these respondents,201(37.8%)advanced primiparas had the willingness to choose labor analgesia.Multi-variate analysis showed that the bachelor degree or above(OR=2.765,95%CI 1.181-6.473),the medical education background(OR=2.045,95%CI 1.305-3.203),the spouse support(OR=3.021,95%CI 1.329-6.868),the fear of pain(OR=1.813,95%CI 1.305-3.203)and the acquired knowledge of labor analgesia(OR=2.867,95%CI 1.043-7.882)of the respondents were more willing to choose the labor analgesia.Conclusion:The professionals in the medical institutions should strengthen the health education health education related to the labor analgesia for the pregnant women,and should actively promote the popularity rate of the labor analgesia in the pregnant women.