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目的:探讨分析无手术指征初产妇改变分娩方式的原因。方法:随机抽取本院2012年1月-2014年1月本所收治的产妇190例,采用问卷调查的方法,就产妇产前选择分娩方式进行调查,并且与产妇实际的分娩方式进行数据对比。结果:产前选择生理产的产妇为177例(93.15%);选择剖宫产的产妇为13例(6.85%)。产妇实际的分娩方式为生理产为136例(71.57%);剖宫产为54例(28.42%)。经分析,选择剖宫产的的产妇的影响因素主要是社会因素与非社会因素两个方面,其中社会因素为4例(30.77%);非社会因素为9例(69.23%)。讨论:93.15%的产妇在产前都偏向于生理产,说明产妇本身对生理产的认同度要远高于剖宫产。而部分产前选择生理产的产妇的实际分娩方式却是剖宫产,这与产妇自身的身体条件以及家庭因素有关。因此,降低剖宫产率需要从多个方面着手。
Objective: To analyze the causes of primiparous changes in mode of delivery without surgical indication. Methods: Totally 190 maternal mothers admitted to our hospital from January 2012 to January 2014 were randomly selected. The method of questionnaire survey was used to investigate the prenatal choice of delivery and the data were compared with the actual mode of delivery. Results: 177 prenatal women (93.15%) chose physiology and maternal women (13.8%) chose cesarean section. The actual mode of delivery for maternal physiology was 136 cases (71.57%); cesarean section was 54 cases (28.42%). According to the analysis, the influencing factors of maternal selection of caesarean section are mainly social and non-social factors, including 4 social factors (30.77%) and 9 non-social factors (69.23%). Discussion: 93.15% of maternal prenatal bias in biophysical production, indicating that maternal own recognition of physiological production is much higher than cesarean section. However, part of the prenatal choice physiology of mothers of the actual mode of delivery is cesarean section, which maternal own physical conditions and family factors. Therefore, reducing the rate of cesarean section need to start from many aspects.