Objective To investigate the socioeconomic and psychological factors of pregnant women in selecting delivery mode.Methods A cross sectional survey was conducted from April to September in 2014 with anonymous questionnaires among subjects meeting the requirement, including their preferred delivery mode and the reasons for that.Data analysis was then conducted.Results Multiple Logistic regression analysis showed that pregnant women who were older (OR=0.01,P<0.01), whose husbands were higher educated (OR=0.39,P <0.05 ) and whose husbands had high income ( OR =3.42, P <0.05 ) were more likely to choose cesarean section.The psychological factors of selecting natural delivery were delivery being natural (94.0%), shorter hospital stay (90.9%), safer for baby (87.9%), more convenient for breastfeeding (84.9%) and safer for mother (84.9%).The main reasons for preferring cesarean section were better control of birth time (89.5%), recommendation of doctors for antenatal examination (84.2%), worrying about secend suffering at the case of vaginal delivery failure (79.0%), baby suffering less (68.5%), and fear of pain (61.1%).Conclusion Factors associated with high preference for cesarean delivery are older age, husband' s higher income and higher education.Psychological factors are also the important reasons affecting preference of women for delivery.%目的 了解广州地区孕妇分娩方式选择的社会经济及心理因素. 方法 采用横断面调查,对2014年4至9月符合要求的研究对象进行匿名问卷调查,主要调查内容为其倾向的分娩方式及原因,并对结果进行分析. 结果 经多因素Logistic回归分析结果显示,孕妇年龄大(OR=0.01,P<0.01)、配偶学历高(OR=0.39,P<0.05)、配偶收入高(OR=3.42,P<0.05),孕妇越容易选择剖宫产. 选择自然分娩的心理因素为:是自然的分娩方式(94.0%)、住院时间比较短(90.9%)、对小孩比较安全(87.9%)、方便母乳喂养(84.9%)和对产妇比较安全(84.9%);选择剖宫产的理由:可以选择小孩出生时间(89.5%)、产检医生的建议(84.2%)、担心自然分娩失败受两重罪(79.0%)、可让小孩少受罪(68.5%)、害怕疼(61.1%). 结论 孕妇年龄大、配偶收入高、配偶学历高者易选择剖宫产分娩,心理因素也是影响分娩方式选择的重要原因.
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