【摘要】 目的:了解非医学需要剖宫产与产前焦虑的关系,为控制非医学需要剖宫产提供依据。方法:采用巢式病例对照研究进行研究:选取433名孕周≥24周的待产妇作研究对象,根据其最后的分娩方式分为阴道分娩组、非医学需要剖宫产组和医学需要剖宫产组,分析产前焦虑与非医学需要剖宫产的关系。结果:所有入院分娩的产妇中有62.1%采用了剖宫产术分娩,其中家属要求的非医学需要剖宫产占所有剖宫产的55.8%。产妇的状态焦虑和特质焦虑得分分别为(42.53±11.04)分和(44.40±10.23)分,均高于常模,差异有统计学意义(P<0.05)。在调整了产妇的社会人口学特征和本次妊娠的情况后,产前状态焦虑(ORadj=1.41,95%CI:1.06~1.87)和产前特质焦虑(ORadj=1.23,95%CI:1.08~1.40)均是产妇在没有达到医学需要指征的情况下要求进行剖宫产术分娩的独立危险因素。结论:产前焦虑是产妇在没有医学指征的情况下要求进行剖宫产术分娩的危险因素。更多还原

【Abstract】 Objective: To explore the relationship between prenatal anxiety and cesarean section(c-section) with non-medical indication. Methods: Nested case-control study was used to analyze the risk factors for c-section with no medical needs: 433 pregnant women with gestational age longer than 24 weeks were enrolled in this study. According to the mode of delivery, we divided them into a vaginal delivery group, a c-section group without medical need and a c-section group with medical need. Results: The c-section rate was 62.1%, 55.8% of which was c-section without medical need at family request. The score of state anxiety(S-AI) and trait anxiety(T-AI) was 42.53±11.04 and 44.40±10.23 respectively, much higher than that of normal population. After the adjustment of maternal social economic status and other prenatal statuses for this pregnancy, the prenatal anxiety was still associated with c-section with non-medical indication. The adjusted odd ratio for prenatal anxiety state, prenatal trait anxiety state and c-section with non-medical indication was 1.41(95% CI: 1.06-1.87) and 1.23(95% CI: 1.08-1.40), respectively. Conclusion: Prenatal anxiety state is a risk factor for c-section with non-medical indication.更多还原