摘要
目的 探究瘢痕子宫再次妊娠产妇产前分娩恐惧、社会支持状况与阴道试产意愿之间的相关性。方法 选取2022年3月至2025年7月在本院产检的200例瘢痕子宫再次妊娠产妇为研究对象,根据分娩意愿不同分为剖宫产后阴道试产组和非阴道试产组。使用一般资料问卷、分娩恐惧量表(CAQ)、社会支持评定量表(SSRS)进行横断面调查。采用Spearman秩相关分析产前分娩恐惧、社会支持状况与其阴道试产意愿的相关性,使用单因素分析及多因素logistic回归分析瘢痕子宫再次妊娠产妇阴道试产意愿的影响因素。结果 200例瘢痕子宫再次妊娠产妇中,产前CAQ总分为(27.97±8.63)分,SSRS总分为(40.47±7.00)分,愿意接受阴道试产者39例(19.50%)。Spearman秩相关分析显示,分娩恐惧与阴道试产意愿呈显著负相关(r=-0.651,P<0.001),社会支持与阴道试产意愿呈显著正相关(r_(s)=0.662,P<0.001),分娩恐惧与社会支持呈显著负相关(r=-0.781,P<0.001)。多因素logistic回归分析显示分娩恐惧(OR=0.740,95%CI:0.573~0.956,P=0.021)、社会支持(OR=4.155,95%CI:1.532~11.268,P=0.005)、年龄(OR=0.639,95%CI:0.433~0.942,P=0.024)及上次剖宫产原因(OR=27.454,95%CI:1.293~582.719,P=0.034)是瘢痕子宫再次妊娠产妇阴道试产意愿的独立影响因素。结论 瘢痕子宫再次妊娠产妇产前分娩恐惧水平、社会支持状况两者均与阴道试产意愿密切相关,临床可通过降低产妇分娩恐惧、强化社会支持系统,来提高其阴道试产意愿,进而促进自然分娩。
Objective To explore the correlation between antenatal childbirth fear,social support status and vaginal trial of labor(TOL)willingness in parturients with scarred uterus and subsequent pregnancy.Methods A total of 200 parturients with a scarred uterus and subsequent pregnancy,who received prenatal care at our hospital from March 2022 to July 2025,were selected as the research subjects.They were divided into two groups based on their childbirth willingness:the group for vaginal trial of labor after cesarean section and the group for non-vaginal trial of labor.A cross-sectional survey was conducted using a general information questionnaire,the Childbirth Anxiety Questionnaire(CAQ)and the Social Support Rating Scale(SSRS).Spearman correlation analysis was utilized to assess the relationship between prenatal childbirth fear,social support status,and the willingness to undergo vaginal trial of labor(TOL).Univariate and multivariate logistic regression analyses were conducted to determine the factors influencing the willingness for vaginal trial of labor(TOL)in women with a history of cesarean section and subsequent pregnancies.Results Among the 200 parturients,the total antenatal CAQ score was(27.97±8.63),the total SSRS score was(40.47±7.00),and 39 parturients(19.50%)clearly expressed willingness for vaginal TOL.Spearman correlation analysis revealed the following relationships:Childbirth fear was significantly negatively correlated with vaginal TOL willingness(r=-0.651,P<0.001);social support was significantly positively correlated with vaginal TOL willingness(r=0.662,P<0.001);and childbirth fear was significantly negatively correlated with social support(r=-0.781,P<0.001).Multivariate logistic regression analysis indicated that childbirth fear(OR=0.740,95%CI:0.573-0.956,P=0.021),social support(OR=4.155,95%CI:1.532-11.268,P=0.005),age(OR=0.639,95%CI:0.433-0.942,P=0.024),and the cause of previous cesarean section(OR=27.454,95%CI:1.293-582.719,P=0.034)were independent influencing factors for vaginal TOL willingness in parturients with a scarred uterus and subsequent pregnancy.Conclusion Antenatal childbirth fear level and social support status are closely correlated with vaginal TOL willingness in parturients with scarred uterus and subsequent pregnancy.In clinical practice,studies indicate that alleviating childbirth fear and enhancing social support can significantly improve parturients'willingness for vaginal delivery,thereby facilitating natural childbirth.
作者
罗彩云
倪慧琼
王海燕
黄仁英
LUO Caiyun(Ganzhou Maternal and Child Health Hospital,Ganzhou 341000,Jiangxi,China)
出处
《牡丹江医科大学学报》
2026年第1期101-105,共5页
Journal of Mudanjiang Medical University
基金
赣州市卫生健康委员会科研计划项目(GZWJW202502339)。
关键词
瘢痕子宫
再次妊娠
分娩恐惧
社会支持
阴道试产
相关性
Scarred uterus
Subsequent pregnancy
Childbirth fear
Social support
Vaginal trial of labor
Correlation
