剖宫产后再妊娠孕妇分娩知识知晓状况调查

Investigation on the repeat pregnant women′s knowledge of delivery mode after cesarean section

目的：了解剖宫产后再次妊娠的孕妇对分娩方式相关知识知晓状况，为降低无医学指征的剖宫产率，制订有效的干预方案提供依据。方法采用问卷调查法对山西省妇幼保健院产前检查330名剖宫产后再次妊娠的孕妇进行分娩方式相关知识的调查。结果本次共调查330名孕妇，回收有效问卷318份，有效回收率为96.4%，不同文化程度、孕周、医生的分娩建议及医疗保险种类的孕妇对分娩方式相关知识的得分比较差异有统计学意义（P＜0.05），多重线性回归分析显示，文化程度和医生分娩建议与孕妇分娩知识得分有关（P＜0.05），孕妇的文化程度越高，医生向孕妇提供分娩建议，其知识得分越高。结论剖宫产后再次妊娠的孕妇对分娩方式的相关知识水平较低，需要采取相应的干预策略进行健康宣教，进而减少无医学指征的剖宫产率。

Objective To study the repeat pregnant women′s awareness level of delivery mode knowledge after cesarean section, in order to provide a basis for making effective intervention programs and reduce the cesarean delivery on maternal request rate. Methods Investigated on the knowledge of delivery mode after cesarean section for 330 repeat pregnant women on Maternal and Children Healthy Hospital of Shanxi Province by questionnaire. Results This study investigated 330 repeat pregnant women, recycling effective questionnaire 318, and the recycling effective rate was 96.4%. Different pregnant women with different education level, the number of weeks of gestation, the doctors′recommendations on the delivery had different scores of knowledge of delivery mode after cesarean section. The difference was significant (P < 0.05). The Multi-factor Logistics regression analysis showed that the repeat pregnant women′ s education and the doctors′recommendations on the delivery are associated with the scores of knowledge of delivery mode after cesarean section (P<0.05). The more higher level of their education, and if the doctor had provided the advice of delivery mode to repeat pregnant women before, the more higher scores the repeat pregnant women got. Conclusions The level of the knowledge of delivery mode after cesarean section is low. It′s time to take appropriate health education intervention strategies to reduce the rate of cesarean delivery on maternal request.