目的 了解黄山市孕妇、孕妇家人对分娩方式意愿性选择情况及影响因素。方法 在辖区8所保健机构围产保健门诊,调查1 567名18～60名接受服务的孕妇和陪同的家人,采用无记名自填表格或面对面问卷方式调查产妇分娩方式的意愿选择情况。结果 1 567名调查对象,意愿选择自然分娩占77.7%,意愿选择剖宫产占22.3%。其中不同对象、性别、文化程度、个人及家庭收入、居住地、医疗费用支付方式、妊娠孕周对分娩方式的意愿选择,差异无统计学意义(P＞0.05);不同年龄、职业、孕妇的孕次、产次的调查对象,分娩意愿选择差异有统计学意义(P＜0.05)。意愿选择剖宫产因素包括怕试产失败、怕痛、有高危因素、剖宫产安全、其他因素、担心影响性生活、选择吉时。结论 围产期保健工作人员应根据不同对象制定有针对性健康教育计划,指导孕妇合理选择分娩方式,以降低非医学指征剖宫产率。

Objective To understand the pregnant women and their family's willingness to choose the way of delivery and its influencing factors in Huangshan city. Methods At the health care clinics in 8 health care institutions, 1567 pregnant women aged 18-60 years and their families were choosed for the subjects. An anonymous self-administered form or face-to-face questionnaire survey was used to investigate the pregnant womem' choice of delivery mode. Results Among the 1567 pregnant women, 77.7% of them would choose natural childbirth, and 22.3% of them would choose cesarean section. There was no significant difference in the choice of the mode of delivery between different objects, gender, educational level, personal and family income, residence, medical expenses and gestational weeks(P>0.05). There were significant differences in the choice of the mode of delivery between different age, occupation, pregnant women and birth times(P＜0.05). The influencing factors of chooseing cesarean section included the fear of failure, fear of pain, a trial of high risk factors, cesarean section, safety and other factors, worried about the impact of sexual life, choose auspicious. Conclusion Perinatal health care workers should develop targeted health education programs based on different objects to guide pregnant women to choose a reasonable way of delivery and to reduce the rate of cesarean section indications.