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題名：產婦特性與採用剖腹產:以臺大醫院為例
書刊名：中華公共衛生雜誌
作者：黃俊元／楊銘欽／陳維昭
作者(外文)：Huang, Chun-yuan／Yang, Ming-chin／Chen, Wei-jao
出版日期：1997
卷期：16:4
頁次：頁309-318
主題關鍵詞：剖腹產；保險身份；非醫療因素；Cesarean section；Insurance status；Non-medical factors
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(4) 博士論文(2) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:4
  • 共同引用共同引用:0
  • 點閱點閱:82
　　　　　為探討產婦人口學因素及非醫療因素對產婦採用剖腹產利用的影響，本研究於1994年12月至1995年2月針對台大醫院全部527位產婦施以以自填式結構化問卷普查，問卷回收率為92.41%。研究結果顯示：研究樣本中採用剖腹產的產婦共有202位（41.5%），其中除了部份確實因為醫療因素而採用剖腹產以外，其餘產婦則受到非醫療因素影響，按其重要性百分比排序依序為：1.選擇良辰吉時、2.比較容易安排生產時間、3.怕生產疼痛，自己提出要求、4.害怕生產過程沒有丈夫親友陪伴、5.擔心自然產後會導致陰道裂傷鬆弛影響性生活、6.親友丈夫建議、7.利用假期安排剖腹產、8.保 險有給付。而在對數複迴歸分析結果中，對產婦採用剖腹產有影響之相關因素包括：產婦的保險身份、年齡、居住地、生產胎次、教育程度及有剖腹產主要診斷等。
　　　　　The objective of the study is to investigate the impact of maternal characteristics, nonmedical factors on the use of cesarean section. Questionnaires were sent to 527 child-bearing women in National Taiwan University Hospital from December 1994 to February 1995. Four hundred eighty seven responses were received. Response rate was 92.41%. Totally there were 202 cesarean cases (41.5%). The reasons of having cesarean section were due to medical and non-medical reasons. The women of cesarean delivery ranked rhe importance of the non-medical factors as follows: 1. to choose a good delivery time, 2. to arrange delivery time easily, 3. to avoid delivery pain, 4. to worry about that her husband and relatives can not keep company, 5. to worry about that vaginal delivery would influence the sexual life, 6. her husband and relatives suggested to take cesarean section, 7. utilizing vacations to arrange cesarean delivery, 8. since payment will be covered by insurance. According to the result of the logistic regression analysis, variables significantly associated with the use of cesarean section included: maternal insurance status, age, residence, education level, parity of childbearing women and having in-dications for cesarean section.
期刊論文
1.王宏木、李鴻樟、徐泰彥(19881200)。Analysis of Cesarean Section at China Medical College Hospital During 1980-1985。中華民國婦產科醫學會會刊雜誌，27(4)，237-243。  延伸查詢new window
2.連義隆、許朝欽、楊友仕(19861200)。Cesarean Section: Changing Incidence and Indications at National Taiwan University Hospital。中華民國婦產科醫學會會刊雜誌，25(4)，196-206。  延伸查詢new window
3.Notzon, F. C.(1990)。International differences in the use of obstetric interventions。JAMA，263，3286-3291。  new window
4.Taffel, S. M.、Placek, P. J.、Liss, Teri(1987)。Trend in the United Stated cesarean section rate and reasons for the 1980-1985 rise。Am J public Health，77，955-959。  new window
5.Sakala, C.(1993)。Medically unnecessary cesarean section birth: introduction to a symposium。Social Science & Medicine，37，1177-1198。  new window
6.Renwick, M. Y.(1991)。Cesarean section rates, Australia 1986: variation at state and small area level。Australian & New Zealand Journal of Obstet & Gyneco，31，299-304。  new window
7.Signorelli, C.、EIliott, P.、Cattaruzza, M. S.、Osborn, J.(1991)。Trend of cesarean section in Italy: an examination of national data 1980-1985。International journal of Epidemiology，20，712-716。  new window
8.Francome, G.、Savage, W.(1993)。Caesarean section in British and the United States-12% or 24%: is either the right rate?。Soc Sci Med，37，1199-1218。  new window
9.Miller, J. M.(1988)。Maternal and neonatal morbidity and mortality in cesarean section。Obstet Gynecol Clin North Am，15，629。  new window
10.Nair, C.(1991)。Trend in cesarean section deliveries in Canada。Health Reports，3，203-219。  new window
11.Gordon, D.、Milberg, J.、Daling, J.、Hickok, D.(1991)。Advanced maternal age as a risk factor for cesarcan delivery。Obstet Gynecol，77，493-497。  new window
12.Martel, M.、Waccholder, S.、Lippman, A.、Brohan, J.、Hamilton, E.(1987)。Maternal age and primary cesarean section rates: a multivariate analysis。American Journal of Obstetrics and Gynecology，156，305-313。  new window
13.Wilner, S.、Schoenbaum, S. C.、Monson, R. R.、Winickoff, R. N.(1981)。A comparison of the quality of maternity care between a Health Maintenance Organization and Fee-For-Service practice。N Engl J Med，304，734-737。  new window
14.Haas, J. S.、Udvarhely, S.、Epstein, A. M.(1993)。The effect of health coverage for uninsured pregnant women on maternal health and the use of cesarean section。JAMA，270，61-64。  new window
15.Stafford, R. S.(1990)。Cesarean section use and sourcc of payment: An analysis of California discharge abstract。Am J Public Health，80，313-315。  new window
16.Rocks, S. M.(1988)。Malpractice premiums and primary ccsarean section rates in New York and Illinois。Public Health Reports，103，459-463。  new window
17.Stafford, R. S.(1991)。The impact of nonclinical factors on repeat cesarean section。JAMA，265，59-63。  new window
18.Shearer, E. L.(1993)。Cesarean section: Medical benefits and costs。Soc Sci Med，37，1223-1331。  new window
19.Stafford, R. S.(1990)。Alternative strategies for controlling rising cesarean section。JAMA，263，683-687。  new window
20.Baros, F. C.、Vaughan, J. P.、Huttly, S. R. A.(1991)。Epidemic of cesarean sections in Brazil。Lacet，338，167-169。  new window
21.Goyert, G. L.、Bottoms, S. F.、Treadwell, M. C.(1989)。The physician factors in cesarean-section rates。N Engl J Med，320，706-709。  new window
22.謝景璋、謝燦堂、宋永魁(19901200)。Prevalence of Cesarean Section in Chang Gung Memorial Hospital, 1984-1989。長庚醫學，13(4)，282-289。  延伸查詢new window
23.Notzon, Francis C.、Placek, Paul J.、Taffel, Selma M.(1987)。Comparisons of National Cesarean-Section Rates。New England Journal of Medicine，316，386-389。  new window
研究報告
1.行政院衛生署(1994)。中華民國八十二年台灣地區醫療機構現況及醫院服務量統計摘要表。行政院衛生署。  延伸查詢new window
學位論文
1.朱僑麗(1994)。某醫學中心保險與剖腹產之相關研究(碩士論文)。國立陽明大學。  延伸查詢new window
圖書
1.US Department of Health and Human Service(1993)。Health United States。  new window
 
 
 
 
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