二孩政策下初产妇分娩方式调查及影响因素分析

doi:10.3969/j.issn.1006-5253.2019.02.018

Abstract
Figure/Table
References (0)
Related Citation (15)

Download: PDF (894 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To explore the differences in primipara delivery methods and related influencing factors in a hospital before and after the implementation of the secondchild 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 secondchild 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 ( χ2=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 secondchild policy, the proportion of primiparas who choose vaginal delivery after the implementation of the secondchild policy has increased. The secondchild policy has affected the maternal fertility behavior and must be given high priority in order to better cope with the current obstetric situation.

Key words： second child policy primipara birth mode influencing factor investigation and research

Received: 15 February 2019

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	Yu Qinjian
	Zhang Mengsi
	Chen Yangping

Cite this article:

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[J]. journal1, 2019, 26(2): 144-146.

URL:

http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2019.02.018 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2019/V26/I2/144

［1］马玉燕.“单独二孩”政策带给产科的问题和挑战［J］.中华全科医师杂志，2015，14(3):161-162.

［2］乔晓春.“单独二孩”政策的利与弊［J］.人口与社会，2014，30（1）:3-6.

［3］范建霞，杨帅.单独二胎政策开放高龄产妇面临的临床问题［J］.中国临床医生，2015，43（8）: 1-3.

［4］田红霞，康笑冰，张丹.孕妇对分娩方式的认知及其影响因素调查［J］.江苏医药，2014，40 （7）:855-856.

［5］蒋欣星，苗箐，唐晓君，等.我国西部少数民族地区女性分娩方式及其影响因素［J］.中国妇幼保健，2014，29（19）:3047-3049.

［6］张丽玲，帅卫，范晓娜，等.参加孕妇学校对初产妇分娩方式和产褥期行为的影响［J］.现代临床护理，2014，13（7）:21-23.

［7］许丽，邓六六.二胎政策对初产妇妊娠结局的影响及相关因素分析［J］.全科护理，2017,15（26）:3304-3305.

［8］张倩平，陶玉玲，陈卫红.江西省孕妇分娩方式及分娩意愿调查［J］.中国妇幼保健，2016，31 （2）：357-359.

［9］贾玉芳．“单独二孩”政策对昆山市育龄妇女生育意愿的潜在影响分析［J］.中国计划生育学杂志，2014，22（8）:514-518,525.

［10］舒阳，刘颖，高永梅.二胎政策放开后对初产妇分娩方式的影响［J］.中国煤炭工业医学杂志，2016，19（8）:1174-1175.

［11］朱新丽，顾春怡，陶花，等.生育政策调整初期正常初产孕妇预期分娩方式及相关因素分析［J］.中华护理杂志，2016，51（9）:1044-1048.

［12］SPARKS TN, YEATONMASSEY A, GRANADOS JM, et al. Preference to-ward future mode of delivery:how do antepartum preferencesand prior delivery experience contrbute［J］.J Matern Fetal Neonatal Med, 2015,28(14):1673-1678.

［13］DENG W, KLEMETTI R, LONG Q, et al. Cesarean section in Shang-hai: women′s or healtheare preferences［J］. BMC Pregnancy Childbirth, 2014,14(1):285.
［14］闻喆，张丽君. 单独二孩政策实施前后经产妇妊娠并发症和分娩结局的回顾性分析［J］. 临床和实验医学杂志，2016，15（1）：69-72.

［15］邓松清，陈海天，王冬昱，等．二孩政策前后剖宫产率及剖宫产指征变化［J］.中华围产医学杂志，2017，20（1）:47-50.

［16］冯俊英，邹芳铭.二胎政策开放对剖宫产率的影响及相关影响因素探究［J］.山西医药杂志，2017，46（21）:2611-2614.