Investigation and Analysis of the Influencing Factors for Delivery Mode Selection in Pregnant Women with Scarred Uterus after Cesarean Section
XIONG Hai-yan, ZHONG Min, FU Zhao-xia,et al
Department of Gynaecology and Obstetrics, People's Hospital of Longhua District of Shenzhen City affiliated to Southern Medical University,Guangdong Shenzhen 518109, China
Abstract：【Objective】To understand the influencing factors of delivery mode selection in pregnant women with scarred uterus after cesarean section. 【Methods】The pregnant women with scarred uterus after cesarean section and their family members, and medical staff in the Department of Obstetrics and Gynecology from 10 hospitals in Shenzhen were selected as the research subjects during January to December,2016. The awareness of delivery modes ( natural labor and cesarean section) for pregnant women with scarred uterus and their family members and the knowledge of vaginal birth after cesarean section(VBAC)for medical staff were surveyed by questionnaire. The influencing factors of delivery mode selection for pregnant women with scarred uterus were analyzed by Logistic regression . 【Results】Among 993 pregnant women who chose VBAC for baby delivery, 648 cases were successful(65.25%). It was obviously much higher than pregnant women with repeated cesarean section(11.01%,χ2=31.22,P=0.000).Many factors such as living place of pregnant women, awareness of natural labor and cesarean section,tension about natural labor,previous history of vaginal delivery, and family members' suggestion for vaginal delivery had influence on the delivery mode selection(all P＜0.05).In the 738 effective questionnaires, the awareness rate of vaginal delivery by doctors was 61.65% (328/532), which was significantly higher than that of nurses (21.19%, 50/236). The difference was statistically significant (χ2=93.37,P=0.000).The awareness degree of VBAC by medical staff from tertiary hospitals was 68.46%,which was obviously higher than those from secondary (46.62%) and primary hospitals (20.69%); the difference was statistically significant(χ2=45.26,P=0.000).Furthermore, the VBAC awareness degree of medical staff in specialized hospitals was higher than that of general hospitals(P＜0.05);and the awareness degree of medical staff with senior professional title was higher than those of medical staff with junior and intermediate titles(P=0.000). 【Conclusion】The delivery mode selection of pregnant women with scarred uterus after cesarean section is made by the awareness of vaginal birth after cesarean section. It is necessary to strengthen the publicity of this knowledge.
熊海燕,钟敏,付朝霞,杨新凰,王芬. 瘢痕子宫再次妊娠孕产妇选择分娩方式的影响因素[J]. 医学临床研究, 2017, 34(7): 1284-1287.
XIONG Hai-yan, ZHONG Min, FU Zhao-xia,et al. Investigation and Analysis of the Influencing Factors for Delivery Mode Selection in Pregnant Women with Scarred Uterus after Cesarean Section. JOURNAL OF CLINICAL RESEARCH, 2017, 34(7): 1284-1287.
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2017, Vol. 34 
