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剖宫产或顺产:土耳其孕妇的偏好及影响因素

Caesarean delivery or vaginal birth: preference of Turkish pregnant women and influencing factors.

作者信息

Buyukbayrak E E, Kaymaz O, Kars B, Karsidag A Y K, Bektas E, Unal O, Turan C

机构信息

Obstetrics Clinic, Dr Lutfi Kirdar Kartal Education and Research Hospital, Kartal, Istanbul, Turkey.

出版信息

J Obstet Gynaecol. 2010 Feb;30(2):155-8. doi: 10.3109/01443610903461436.

Abstract

The aim of this study was to assess the preference of pregnant women for mode of delivery in an uncomplicated pregnancy and reasons of their choice, also to determine if maternal characteristics were predictors of maternal preference. Pregnant women applying to the antenatal clinic for a routine control visit were recruited. After verbal consents, a questionnaire was administered to 1,588 pregnant women. Of the women questioned, 84.1% opted for vaginal delivery whereas only 15.9% opted for an elective caesarean delivery. The main reasons for vaginal delivery preference were; earlier healing and earlier hospital discharge, being a more physiological way of delivery and previous vaginal delivery history. The most common reasons for choosing caesarean delivery were; fear of vaginal delivery, tubal ligation demand and to avoid labour pain. Educational status, occupation and gestational age were not found to be influencing factors but age, parity and monthly income were found to be influencing factors for maternal preference.

摘要

本研究的目的是评估正常妊娠孕妇对分娩方式的偏好及其选择原因,同时确定母亲特征是否为母亲偏好的预测因素。招募到产前诊所进行常规检查的孕妇。在获得口头同意后,对1588名孕妇进行了问卷调查。在接受询问的女性中,84.1%选择阴道分娩,而只有15.9%选择择期剖宫产。选择阴道分娩的主要原因是:愈合更快、更早出院,是一种更自然的分娩方式以及有过阴道分娩史。选择剖宫产最常见的原因是:害怕阴道分娩、要求输卵管结扎以及避免分娩疼痛。研究发现,教育程度、职业和孕周不是影响因素,但年龄、产次和月收入是影响母亲偏好的因素。

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