Dissertation > Excellent graduate degree dissertation topics show

Maternal Health Care and Determinants of Caesarean Section in Rural South Anhui

Author: ChenSuPing
Tutor: TaoFangBiao
School: Anhui Medical University,
Course: Public Health and Preventive Medicine
Keywords: Pregnancy/Parturition/Delivery of Health Care/Health Care Surveys/Cesarean Section/Epidemiologic Factors/Rural Health/Questionnaires/Qualitative Research
CLC: R719.8
Type: Master's thesis
Year: 2010
Downloads: 47
Quote: 0
Read: Download Dissertation

Abstract


Objectives To describe the situation of antenatal, delivery and postnatal care in rural South Anhui, understand the cesarean section (CS) rate and to analyze the determinants of increasing CS rate.Methods One county in south Anhui was selected as study site. By cluster randomized sampling, 1/3 villages of 12 townships were chosen. Mixed quantitative and qualitative methods were adopted in this study. In quantitative research, women with childbirth between March 1 and December 31, 2008 in selected villages were recruited as participants. A household questionnaire survey was conducted to collect data on socio-economic characteristics, medical and obstetric history, usage of maternal health care as well as caesarean section. Descriptive analysis was used to display the situation of antenatal, delivery and postnatal care, choice and decision-making of caesarean section. Non-conditional multivariate logistic model was performed to explore related factors influencing choice of caesarean section. In qualitative research, pregnant women, women with childbirth, family members, health providers, managers and policy makers were invited to participate in focus group discussions and /or individual in-depth interviews. Topic guide including stakeholders’perception on current CS situation, advantages and disadvantages of vaginal delivery and caesarean section and possible causes of increasing CS rate was developed as study instrument.Results A total of 619 women completed the household survey. With regard to maternal health care services, prenatal examination, hospital delivery, postpartum visit and health education were all carried out in the township hospitals. Coverage of prenatal checkup was 98.9%, in which the rate of prenatal care in first trimester of pregnancy was 73.0%, rate of systematic antenatal care was 45.1%. Rate of hospital delivery was 100.0% and postnatal home visit was 11.8%. The rate of CS was 82.1% (508/619), in which 67.5% (343/508) was determined by maternal request, 28.5% (145/508) by obstetrician’s advice. It is found that the two leading reasons for women‘s request were fear of childbirth and worry about baby’s health. Logistic regression model showed that higher education level (OR: 1.10, 95%CI: 1.03-1.18) and delivery in township hospital (OR: 2.11, 95%CI: 3.32-3.39) were risk factors of caesarean sectionIn qualitative study, it showed that factors affecting choice of caesarean section included young puerpera’s age, women’s fear of pain, recommendations from doctors and elders, hospital’s defensive medical care, inappropriate cognition of quality of life after cesarean section and poor skills of young obstetricians and midwives.Conclusion Poor systematic management of maternal health care is observed in study county, especially low coverage of postnatal care. Caesarean section rate, however, is extremely high in the rural area, which is a conjunctive result from increasing demands of health providers (hospitals and doctors) and health consumers (pregnant women and their family members).

Related Dissertations

  1. Osteoporosis Prevention Study : Community nursing health education intervention model,R473.2
  2. Study on Social Anxiety Status and Its Influential Factors of Left-behind Children in One Rural Area of Anhui Province,R395
  3. Social Policy Perspective rural cooperative medical research,R197.1
  4. The Non-intellective Factor to Influence of Rural High School Biology Study,G633.91
  5. The rural consumer Factors Influencing,F323.8
  6. The Study of the Provision of Basic Health Care Services Based on Community Health Service System,R197.1
  7. Research on the Effect to Rural Economic Development with Non-economy Factors,F320
  8. The Research and Development of Old People’s Health Management and Analysis System,TP311.52
  9. Research on China’s Rural Cooperative Medical System,R197.1
  10. Heilongjiang Province, the new rural cooperative medical care Minority Health and Countermeasures,R197.1
  11. An Analysis of Rural Household Consumption and Its Influencing Factors in China,F224
  12. Research the Migrant Workers’ Participation in the New Rural Cooperative Medical Insurance,R197.1
  13. Converting Research on the Less-able Students in a Rural Junior Middle School,G635.5
  14. The Epidemiological Study on the Exposure to Violence among Rural Middle School Students,R181.3
  15. Rural finance in the role of farmers' income growth,F323.8
  16. Study on Inner Mongolia New Rural and Pastoral Areas Cooperative Medical Supply and Demand Problem,R197.1
  17. On the Problems of China’s Human Capital in Rural Areas,F323.6
  18. Investigation of Perinatal Maternal Health Status and Analysis of the Effect of Health Education,R473.71
  19. The role of \,R197.1
  20. Study on the Present State and the Influencing Factors of the Cesarean Section in the Three Gorges Region of Chongqing,R719.8

CLC: > Medicine, health > Obstetrics and Gynaecology > Obstetric surgery > Laparotomy
© 2012 www.DissertationTopic.Net  Mobile