摘要
目的 :研究孕产妇手术产的影响因素 ,探讨减低非必要因素 (如社会因素 )手术产的解决方法。方法 :采用整群抽样的研究方法 ,在武汉市 5所妇幼保健所调查 453例围产期妇女 ,(对数据 )进行描述性分析、 L ogistic回归分析、相关分析及聚类分析。结果 :剖宫产前 3位影响因素依次为胎位异常、珍贵胎儿、胎儿宫内窘迫 ;阴道手术产的前 3位影响因素依次为胎儿窘迫、相对头盆不称、宫缩乏力。同时各种社会因素对分娩方式也产生一定的影响。结论 :手术产的影响因素众多 ,应尽量减少非必须性手术产 。
Objective: To research on the influencing factors of clinical surgical delivery, and to discuss relative measures. Methods: cluster and random sampling was cond ucted to sample 453 perinatal women in five maternal and children health care bu reaus of wuhan, and descriptive analysis, logistic regression analysis, correlat ion analysis and cluster analysis were conducted to analyze the date. Result: th e first three influencing factors of cesarean delivery were abnormal fetal posit ion, precious fetus and fetal distress in uterus; the first three influencing fa ctors of surgical delivery through vagina were fetal distress, relative cephalop elvic disproportion and uterine inertia. At the same time, delivery methods were also influenced by social factors. Conclusion: there were many influencing fact ors of clinical surgical delivery, and measures must be adopted to reduce dispen sable surgical delivery to protect the health of mother and fetus.
出处
《中国妇幼保健》
CAS
2003年第12期713-715,共3页
Maternal and Child Health Care of China
关键词
孕产妇
手术产
影响因素
剖宫产率
影响因素
Cesarean delivery
surgical delivery through vagina
Influencing factor