黄满仙, 王硕佳, 夏木斯叶·木依都力, 莫敏佳, 邵布勒, 沈郁, 斯淑婷, 辛星, 余运贤. 2002-2018年浙江省舟山市剖宫产变化趋势及影响因素分析[J]. 疾病监测, 2019, 34(7): 662-666. DOI: 10.3784/j.issn.1003-9961.2019.07.018
引用本文: 黄满仙, 王硕佳, 夏木斯叶·木依都力, 莫敏佳, 邵布勒, 沈郁, 斯淑婷, 辛星, 余运贤. 2002-2018年浙江省舟山市剖宫产变化趋势及影响因素分析[J]. 疾病监测, 2019, 34(7): 662-666. DOI: 10.3784/j.issn.1003-9961.2019.07.018
Manxian Huang, Shuojia Wang, Muyiduli Xiamusiye, Minjia Mo, Bule Shao, Yu Shen, Shuting Si, Xing Xin, Yunxian Yu. Trend of cesarean section and influence factors in Zhoushan of Zhejiang, 2002–2018[J]. Disease Surveillance, 2019, 34(7): 662-666. DOI: 10.3784/j.issn.1003-9961.2019.07.018
Citation: Manxian Huang, Shuojia Wang, Muyiduli Xiamusiye, Minjia Mo, Bule Shao, Yu Shen, Shuting Si, Xing Xin, Yunxian Yu. Trend of cesarean section and influence factors in Zhoushan of Zhejiang, 2002–2018[J]. Disease Surveillance, 2019, 34(7): 662-666. DOI: 10.3784/j.issn.1003-9961.2019.07.018

2002-2018年浙江省舟山市剖宫产变化趋势及影响因素分析

Trend of cesarean section and influence factors in Zhoushan of Zhejiang, 2002–2018

  • 摘要:
    目的了解2002 — 2018年浙江省舟山市剖宫产率变化趋势,并分析其影响因素。
    方法利用该市电子医疗记录数据库,提取孕妇首次随访数据与分娩信息,采用多因素非条件logistic回归分析探讨剖宫产的影响因素。
    结果研究共纳入舟山市2002 — 2018年共43 034名孕妇,该市剖宫产率总体为50.61%,从2013年开始呈现下降趋势,至2016年下降至40%左右。 孕妇年龄较高(OR=1.115,95%CI:1.106 ~ 1.123)、孕前体质指数(BMI)较高(OR=1.080,95%CI:1.070 ~ 1.090)、孕次为2次及以上(OR=1.199,95%CI:1.145 ~ 1.256)、高危妊娠(OR=1.407,95%CI:1.317 ~ 1.504)、胎儿出生体质量较大(OR=1.730,95%CI:1.641 ~ 1.824)、非头位分娩(OR=7.620,95%CI:7.037 ~ 8.251)更容易发生剖宫产。 根据年份分层,在2014年前文化程度较高是孕妇剖宫产的影响因素。
    结论舟山市孕妇总剖宫产率较高,孕妇年龄、孕前BMI、孕次、是否高危妊娠、胎儿出生体质量以及分娩胎位是剖宫产的影响因素。

     

    Abstract:
    ObjectiveTo understand the trend of cesarean section (CS) in pregnant women in Zhoushan of Zhejiang province from 2002 to 2018, and analyze the potential influence factors.
    MethodsThe prenatal examination data and delivery information of pregnant women in Zhoushan during this period were collected by using local electronic medical record system. Multivariate logistic regression models were used to identify the influence factors for CS.
    ResultsThe study included 43 034 pregnant women from 2002 to 2018. The overall CS rate was 50.61%, and the rate began to decrease from 2013 and decreased to 40% in 2016. Older age at pregnancy (OR=1.115, 95% CI: 1.106–1.123), higher pre-pregnancy BMI (OR=1.080, 95% CI: 1.070–1.090), more than 2 times (OR=1.199, 95% CI: 1.145–1.256), high-risk pregnancy (OR=1.407, 95% CI: 1.317–1.504) and high fetal birth weight (OR=1.730, 95% CI: 1.641–1.824), non-head delivery (OR=7.620, 95% CI: 7.037–8.251) were the influence factors for CS. When stratified by year, higher educational level was the influence factor for CS before 2014.
    ConclusionThe average CS rate was relatively high in Zhoushan. Maternal age, pre-pregnancy BMI, gravidity, risk degree of pregnancy, fetal birth weight and position of the fetus were influence factors for CS.

     

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