The Analysis Of New Social Factors And Intervene Measures For Cesarean Section

Objective:To analyze the social factors of nowadays cesarean section cases, and to find theeffective and feasible measures to reduce the rate of cesarean section.Methods:To the cesarean delivered cases in our hospital during2011.12---2012.11, usingretrospective analysis and questionnaire survey methods, to find the social factors forchoosing the operation and the cognizant situation of the operation hazard. To assess theeffect of prenatal health education mode for choosing the deli-very method.Results:1,The age of study group is (30.17±2.56) elder than the control group, and theyhave no significant difference in the maternal weight gain,(20.39±6.82kg v-s18.34±6.52kg)the maternal height(162.00±5.88cm vs165.09±5.39cm) an-d theeducation degree,Bachelor degree and the higher (68.0%vs65.2%) with controlgroup P>0.05.2, The most common social factors of cesarean is the fear of contractions pain(69.9%),followed with the worrying about vaginal delivery failure (53.2%)worryingabout child safety(46.8%); decided to interference by friends (36.0%); Fear ofepisiotomy for (32.0%); The fear of the pelvic floor prolapsed costing by delivery(25.5%); Feel pregnancy weight gain too much the body weight (21.2%);choosing for agood date (10.8%)3, The ratio eager for painless labor, the epidural guide delivery and improve thematernity ward environment are (55.38%vs70.17%,34.14%vs25.05%、21.24%vs20.08%). More than half of both group cases are eager of painless labor.4, The control group know more of the operation hazard especially the long-term risks. The recent damage：(77.8%vs56.5%)Long-term harm(31.5%vs62.9%)，P=0.00<0.05.5, More cases in control group participate in pregnant women school(74.7%vs38.2%) P=0.00<0.05, get more information from the professional persons(74.9%VS53.2%) P=0.00<0.05and more easily to trust in them.(64.8%vs59.2%)Mo-re thanhalf of both groups hope to get the pregnant and childbirth knowledge by professionalsto open QQ, micro-message, micro-blog and other network forms.Conclusion:1, There are many misunderstanding of the cesarean section disadvantage,e-specially the long-term risks.2, It is necessary to reduce the rate of social factor cesarean section by reducingthe fear of vaginal delivery using painless labor and the epidural guide delivery.3, It is necessary to reform the education model of pregnant women assisted withthe network forms...