皖南农村地区剖宫产现状及其影响因素分析-analysis of cesarean section status and its influencing factors in rural areas of southern anhui.docxVIP

安徽医科大学硕士学位论文 安徽医科大学硕士学位论文 PAGE PAGE 7 hospitals. Qualitative study showed that maternal health care was unbalanced, the coverage rate of prenatal checkup was high with the township hospitals were the predominant medical unit. Rate of postpartum visit in country A (17.0%) was significantly higher than that in country B (11.8%) (P0.05). In county B, rates of prenatal checkup in first trimester of pregnancy and postpartum telephone visit (73.0%, 19.9%, respectively) were significantly higher than those in country A(57.7%, 15.1% respectively) (P0.05). In the quantitative study, all 1 515 women (100%) had hospital deliveries. The rate of CS in county A and county B was 63.6%, 82.1%, respectively, with statistically difference (P0.001). The rate of elective cesarean by maternal request in was 50.9% (290/570) and 67.5% (343/508) respectively in county A and county B. The study found that the two leading reasons for women‘s reque st were fear of childbirth and worry about baby’s health. Higher education level was risk factor of caesarean section in both two counties(OR value=1.08, 95%Confidence interval=1.03~1.14 in county A,OR=1.10, 95%Confidence interval=1.03~1.18 in county B). Adverse pregnancy outcome(OR value=1.88, 95%Confidence interval=1.03~1.14), frequent antenatal care(OR value=1.36, 95%Confidence interval=1.03~1.18) , delivery at county level and above (OR value=1.52, 95%Confidence interval=1.37~2.57) were risk factors of caesarean section in county A. In county B, delivery at township level was risk factors of caesarean section (OR value=2.11, 95%Confidence interval=0.30~0.76). The rate of delayed onset of lactation for CS was higher than that for vaginal delivery. In qualitative study, it showed that factors affecting choice of caesarean section included young puerpera’s age, women’s fear of pain, recommendations from doctors and elders, hospital’s defensive medical care, inappropriate cognition of quality of life after cesarean section and poor skills of you