二孩政策下初产妇分娩方式调查及影响因素分析

余勤俭; 张梦思; 陈杨萍

doi:10.3969/j.issn.1006-5253.2019.02.018

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中国医院统计 ›› 2019, Vol. 26 ›› Issue (2) : 144-146. DOI: 10.3969/j.issn.1006-5253.2019.02.018

卫生调查

二孩政策下初产妇分娩方式调查及影响因素分析

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Analysis on the mode of delivery of primipara women and related influencing factors under the policy of second child

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摘要

目的探讨二胎政策实施前后某医院初产妇分娩方式的差异以及相关影响因素，为产科工作提供参考。方法收集本院1 200例初产妇的临床资料，其中2015年1月至6月初产妇600例（A组）代表二孩政策落实前的状况；2017年1月至6月初产妇600例（B组），代表二孩政策落实后的状况。观察比较二孩政策落实前后本院初产妇分娩方式的变化，并分析其影响因素。结果 A组初产妇选择阴道分娩方式的比例低于B组，差异有统计学意义（χ2=12.09，P=0.02）；初产妇选择顺产分娩方式的主要影响因素包括年龄、文化程度、多胎、孕期合并症、二孩政策（OR=0.920、1.178、0.909、0.824、1.242，P＜0.05）。结论与二孩政策落实前比较，二孩政策落实后初产妇选择阴道分娩的比例增加，二孩政策已经影响了产妇的生育行为，必须给予高度重视，以便更好地应对当前的产科形势。

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.

导出引用

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 https://doi.org/10.3969/j.issn.1006-5253.2019.02.018

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]. Chinese Journal of Hospital Statistics, 2019, 26(2): 144-146 https://doi.org/10.3969/j.issn.1006-5253.2019.02.018

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