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目的了解重庆市荣昌县剖宫产现状及影响因素,为今后制定降低剖宫产率的干预措施提供依据。方法采用分层整群抽样方法,随机抽取10家医院,对2010年4月在这10家医院住院分娩的产妇及其家属进行面对面问卷调查。结果本次共调查荣昌县住院分娩产妇326例,其中剖宫产者占53.68%。年龄较大、非务农者、孕期出现不良情况的产妇及家属更倾向于选择剖宫产。结论荣昌县剖宫产率远远超过世界卫生组织提出的15%的标准,应针对影响因素,将剖宫产率控制在合理的范围内。
Objective To understand the current status and influencing factors of cesarean section in Rongchang County of Chongqing Municipality, and to provide basis for future interventions to reduce cesarean section rate. Methods A stratified cluster sampling method was used to randomly select 10 hospitals and conduct a face-to-face questionnaire survey on the mothers and their relatives who were hospitalized and delivered in these 10 hospitals in April 2010. Results The total of 326 cases of maternal hospital delivery in Rongchang County, of which cesarean section accounted for 53.68%. Older, non-farm workers, pregnant women and their families appear to be more prone to cesarean section. Conclusion The rate of cesarean section in Rongchang County far exceeds the 15% standard proposed by the World Health Organization. The cesarean section rate should be controlled within a reasonable range according to the influencing factors.