| 王悦,王艳,张铮,王霞.剖宫产术后再次妊娠妇女分娩方式意愿及相关因素分析王悦,王滟,张铮,王霞[J].上海护理,2020,20(8): |
| 剖宫产术后再次妊娠妇女分娩方式意愿及相关因素分析王悦,王滟,张铮,王霞 |
| Survey on willingness and related factors for mode of delivery in repregnancy women after cesarean section |
| DOI： |
| 中文关键词: 剖宫产 再次妊娠 分娩方式 分娩意愿 |
| 英文关键词:Cesarean section repeated pregnancy Mode of delivery Willingness of delivery |
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| 中文摘要: |
| 目的 调查剖宫产术后再次妊娠妇女的分娩方式意愿,分析影响其分娩决策的因素。方法 采用自制问卷对2018年8月~11月在上海市某三级甲等妇产专科医院进行产检的121例剖宫产后再次妊娠的妇女进行调查,采用单因素分析法分析影响分娩意愿决策的因素。结果 最终收集有效问卷110例,持阴道分娩意愿的有54例(49.1%)；持剖宫产意愿的46例(41.8%)；尚不确定本次分娩意愿的10例(9.1%)。单因素分析显示年龄、户口类型、文化程度、家庭经济水平、上一胎剖宫产原因、孕前有无慢性疾病,配偶及周围朋友对分娩方式的建议、本人分娩知识掌握情况对分娩方式选择具有影响,差异有统计学意义(P﹤0.05)。结论 剖宫产后再次妊娠妇女持剖宫产意愿的比率较高,分娩意愿除了受社会人口学资料的影响,还受孕妇分娩认知水平及社会支持因素的影响。强化孕期健康教育,积极调动社会支持系统,大力推广无痛分娩技术,提供专业分娩咨询和评估决策支持,有望降低剖宫产后再次妊娠妇女非医学指征剖宫产率。 |
| 英文摘要: |
| 【abstract】Objective To investigate the willingness for mode of delivery in repregnancy women after cesarean section, and analyze the related factors influencing their decision-making. Methods A self-made questionnaire survey was conducted among 121 women who were repregnant after cesarean section from August to November 2018 in a obstetrics and gynecology hospital in Shanghai. Single factor analysis was used to analyze the factors influencing willingness of delivery. Results 110 cases of valid questionnaires were collected, and 54 women (49.1%) had intentions of vaginal delivery; 46 women (41.8%) with cesarean section intention; Ten cases (9.1%) had not determined their mode of delivery. Single factor analysis showed that age, household registration type, education level, family economic level, reasons of cesarean section of the last child, chronic diseases before pregnancy, suggestions of spouse and friends on delivery mode, personal knowledge of delivery were associated with the willingness for mode of delivery in repregnancy women after cesarean section, the differences were statistically significant (P < 0.05). Conclusion The rate of willingness to perform cesarean section was higher in women who were repregnant after cesarean section. Related factors for mode of delivery in repregnancy women after cesarean section were not only influenced by social demographic data, but also by the cognitive level and social support factors. By strengthening perinatal health education, mobilizing social support system, promoting painless delivery technology, providing professional childbirth consultation and assessment services, the rate of non-medical determinants of cesarean section in repregnancy women after cesarean section is expected to be reduced. |
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