【摘要】 目的了解非医学需要剖宫产的现状,分析其影响因素,为控制非医学需要剖宫产提供依据。方法选取433例孕周≥24周的待产产妇,根据最终分娩方式分为阴道分娩(对照组)、非医学需要剖宫产(病例组)和医学需要剖宫产,进行巢式病例对照研究。结果 62.1%的产妇采用了剖宫产分娩,其中非医学需要剖宫产占55.8%。多因素分析结果显示,产妇年龄的增加,错误地认为剖宫产是保证母婴健康的最佳途径,认为剖宫产能够减轻分娩疼痛,产检其他异常,产前状态焦虑和产前特质焦虑都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危险因素。结论该研究医院剖宫分娩率为62.1%,非医学需要剖宫分娩率为34.6%;产妇的年龄,产检时出现异常情况,不正确的剖宫产认知,产前的焦虑都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。要降低非医学需要剖宫产率需采用综合干预措施。更多还原

【Abstract】 【Objective】 To understand the rate of the cesarean section(c-section) with non-medical need and analyze its risk factors.【Methods】 Nested case-control study were used to analyzed the risk factors for c-section with no medical needs: 433 pregnant women with gestational age greater than 24 weeks were enrolled in this study.According to the mode of delivery,we divided them into the vaginal delivery group(control group),the c-section group with no medical needs(case group) and the c-section group with medical needs.【Results】 The c-section rate was 62.1%.Among them 55.8% was c-section with no medical need under family request.The results of multiple logistic regression analysis showed that the maternal age,believing in ’c-section is the best way to ensure maternal and child health,’delivery pain could be avoid by c-section’,abnormal perinatal exam,perinatal anxiety state,and perinatal trait anxiety state are risk factors for csection with non-medical need.【Conclusion】 The c-section rate was 62.1%,34.6% was c-section with nonmedical need under family requested.Maternal age,lacking correct knowledge on c-section,abnormal perinatal exam,perinatal anxiety state are risk factors for c-section with no medical need.Multiple intervention strategies should be involved to reduce the c-section with no medical need.更多还原