泰国孕妇中非医疗指示的剖腹产偏好的态度,感知和决定因素:三阶段混合方法研究
Saifon Chawanpaiboon1, Sanitra Anuwutnavin1, Vitaya Titapant1
1Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, 10700, Thailand.
International journal of women's health
|December 30, 2025
概括
大多数孕妇更喜欢阴道分娩,但如果医生建议,许多人同意剖腹产 (CS). 改善产前咨询和共享决策可以帮助降低非医疗指示的CS率.
科学领域:
- 产科和妇科 产科和妇科
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在全球和泰国,非医疗指示的剖腹产 (CS) 率正在上升.
- 母亲的偏好,社会文化因素和临床决策影响CS率.
- 了解女性的观点对于减少不必要的CS至关重要.
研究的目的:
- 探索孕妇对非医疗指示的CS的态度和看法.
- 确定孕妇中CS偏好的决定因素.
- 确定与偏好非医疗指示的CS相关的因素.
主要方法:
- 在产前诊所进行前性,描述性,三期混合方法研究 (2024年5月至7月).
- 包括深入采访 (n=40) 和调查 (n=400).
- 数据分析使用描述性统计,奇平方测试和多变量逻辑回归.
主要成果:
- 75%的女性更喜欢阴道分娩,但如果医生建议,60%的女性会接受阴道分娩.
- 以前的CS分娩 (aOR=2.5) 和母亲年龄>35 (aOR=1.8) 与CS偏好有关.
- 综合咨询 (80%的同意),有利时机 (39.5%) 和疼痛感知 (37.3%) 影响了分娩选择.
结论:
- 泰国的孕妇通常更喜欢阴道分娩,但受到医生建议的严重影响.
- 加强咨询和共享决策可能会减少对非指示CS的需求.
- 结果支持制定基于证据的咨询框架和政策,以提供基于证据的选择.
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