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目的通过对社会因素导致剖宫产的孕妇进行社会心理分析,总结出降低剖宫产率的有效对策。方法采用问卷调查对2010年1月-2011年12月蚌医一附院285例社会心理因素致剖宫产孕妇的临床资料进行回顾性分析。结果要求剖宫产的孕妇多为城市户口,经济状况好,或者是珍贵儿母亲,要求剖宫产的理由多是害怕分娩疼痛和对自然分娩的安全性缺乏信心,其次是孕妇及家属不懂医学知识,误认为剖宫产儿比阴道分娩儿聪明以及误认为阴道分娩会影响产后体形等其他社会因素。结论社会心理因素是剖宫产率上升的重要原因之一,加强孕期保健,孕妇孕期定期产前检查,积极参加产前宣教培训课,医师严格掌握剖宫产指征,助产人员加强产程心理调控,建立良好的医患关系以及允许陪伴分娩是降低社会心理因素剖宫产率的关键。
Objective To analyze the social psychology of pregnant women with cesarean section caused by social factors and summarize the effective countermeasures to reduce the rate of cesarean section. Methods A retrospective analysis was conducted on the clinical data of 285 pregnant women with cesarean section caused by psychosocial factors from January 2010 to December 2011 in the First Affiliated Hospital of Hygience Group. The results require cesarean section pregnant women are mostly urban accounts, the economy is good, or precious children mothers, cesarean requirements are mostly due to fear of childbirth pain and lack of confidence in the safety of natural childbirth, followed by pregnant women and their families do not understand Medical knowledge, mistakenly believe that children with cesarean birth than vaginal childbirth clever and mistaken for vaginal birth will affect post-natal body shape and other social factors. Conclusions Social psychology is one of the important reasons for the rise of cesarean section rate. It is necessary to strengthen the prenatal care during pregnancy, regular prenatal examination during pregnancy, actively participate in prenatal mission training, doctors strictly control the indications of cesarean section, midwifery workers strengthen psychology of labor Regulating and establishing a good doctor-patient relationship and allowing companion delivery is the key to reducing the cesarean section rate of psychosocial factors.