Abstract：Objective To explore the differences in primipara delivery methods and related influencing factors in a hospital before and after the implementation of the secondchild policy, and provide reference for obstetric work. Methods The clinical data of 1 200 primiparas in our hospital were collected. Among them, 600 cases (group A) from January to June 2015 represented the status before the implementation of the second child policy; 600 cases of women from January to June 2017 (group B), on behalf of the situation after the implementation of the second child policy. We observed and compared the changes and differences in the delivery methods of primiparas in our hospital before and after the implementation of the secondchild policy, and analyzed the influencing factors. Results The proportion of vaginal delivery method in group A was lower than that in group B, and the difference was statistically significant ( χ2=12.09, P=0.02). The main influencing factors of primiparas' choice of delivery mode included age, education level, multiple births, Pregnancy comorbidity, and second child policy (OR=0.920, 1.178, 0.909, 0.824, 1.242, P<0.05).Conclusion Compared with that before the implementation of the secondchild policy, the proportion of primiparas who choose vaginal delivery after the implementation of the secondchild policy has increased. The secondchild policy has affected the maternal fertility behavior and must be given high priority in order to better cope with the current obstetric situation.
余勤俭,张梦思,陈杨萍. 二孩政策下初产妇分娩方式调查及影响因素分析[J]. 中国医院统计, 2019, 26(2): 144-146.
Yu Qinjian, Zhang Mengsi, Chen Yangping. Analysis on the mode of delivery of primipara women and related influencing factors under the policy of second child. journal1, 2019, 26(2): 144-146.
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