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目的:分析影响分娩方式的社会因素特点及形成原因,以便进一步研究预防对策,降低剖宫产率。方法:选择2011年6月1日~2012年5月31日平桥区剖宫产分娩的462例产妇。对所选择产妇的临床资料进行详细研究,应用设计好的剖宫产社会因素调查表对各种因素进行统计分析。结果:所选择的462例剖宫产产妇社会因素的具体形成原因为:孕产妇家属及本人要求139例(30.09%),回避医疗风险104例(22.51),对妊娠分娩认识及相关知识不足83例(17.97),高龄初产72例(15.58%)选择日期分娩28例(6.06%),经济因素22例(4.76%),珍贵儿14例(3.03%)。结论:要重视孕产妇的产前教育、培养其心理承受能力,提高产科质量,从而降低剖宫产率。
Objective: To analyze the characteristics and causes of social factors that affect the mode of delivery, in order to further study preventive measures and reduce the rate of cesarean section. Methods: From June 1, 2011 to May 31, 2012, 462 pregnant women delivered by cesarean section in Pingqiao District were selected. The selected maternal clinical data for a detailed study, the use of a good design cesarean section social factors questionnaire for various factors statistical analysis. Results: The reasons for the social factors of 462 cesarean maternal women were selected: 139 cases (30.09%) were required by their relatives and their families, 104 cases (22.51) were avoided from medical risks, their knowledge of pregnancy and childbirth was insufficient, and 83 Among the cases (17.97), 72 cases (15.58%) of early primiparous selections included 28 cases (6.06%) delivered by date, 22 cases (4.76%) of economic factors and 14 cases (3.03%) of precious cases. Conclusion: Pay more attention to prenatal education of pregnant women, cultivate their psychological endurance, improve the quality of obstetrics and thus reduce the rate of cesarean section.