汕头大学医学院学报2025，Vol.38Issue(2)：109-114,6.DOI:10.13401/j.cnki.jsumc.2025.02.010
连云港市产妇非医学指征剖宫产现状及相关因素分析
Analysis of the current situation and related factors of non-medically indicated cesarean section among parturients in Lianyungang
摘要
Abstract
Objective:To investigate the current situation and related factors of non-medically indicated cesarean section(NICS)among parturients in Lianyungang,and to provide a basis for developing interventions to reduce the NICS rate.Methods:A cross-sectional survey was conducted among late-pregnancy women receiving prenatal care at Lianyungang Maternal and Child Health Hospital and Guanyun County Yishan Central Health Hospital from October to November 2023.Based on delivery mode,participants were divided into a vaginal delivery group(n=330)and a NICS group(n=94).Differences in demographic characteristics,decision-making processes,medical knowledge levels,and healthcare evaluations were compared between the two groups.Logistic regression was used to analyze factors associated with NICS.Results:A total of 450 questionnaires were distributed,with 424 valid responses(response rate:94.2%).Vaginal delivery accounted for 77.8%(330 cases),while cesarean section accounted for 22.2%(94 cases).Multivariate logistic regression analysis showed that women with no prior cesarean history(OR=0.009,95%CI:0.002-0.032),multiparity(OR=0.150,95%CI:0.046-0.484),higher acceptance of medical advice(OR=0.017,95%CI:0.001-0.316),and more positive healthcare evaluations(OR=0.673,95%CI:0.475-0.954)were more likely to choose vaginal delivery.In contrast,women who made decisions after 28 weeks of gestation(OR=2.237,95%CI:1.049-4.771)or whose spouses were the primary decision-makers(OR=2.049,95%CI:1.039-4.040)were more likely to opt for cesarean section.Conclusion:The choice of non-medically indicated cesarean section is closely associated with parity,previous cesarean history,timing of decision-making,acceptance of medical advice,healthcare evaluations,and the primary decision-maker.关键词
孕产妇/剖宫产/阴道分娩/相关因素Key words
parturient/cesarean section/vaginal delivery/related factors分类
医药卫生引用本文复制引用
刘梅林,朱洁,陈绪,张腾,孟茜,江世文..连云港市产妇非医学指征剖宫产现状及相关因素分析[J].汕头大学医学院学报,2025,38(2):109-114,6.基金项目
江苏省卫生健康委医学科研项目(Z2023038) （Z2023038）
