探討本國籍產婦與新移民產婦之生產模式及其影響 因素

探討本國籍產婦與新移民產婦之生產模式及其影響 因素

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本研究為橫斷性（ cross-sectional design ）研究，採次級資料分析，以「國家衛生研究 院全民健康保險研究資料庫」內 2002 年 01-12 月間，在臺灣地區各級醫療院所分娩之 產婦為研究對象，針對 212,269 名本國籍產婦及 16,858 名新移民產婦進行分析。本研究 使用卡方檢定（ Chi-Square test ）來檢視國籍對孕婦的生產模式是否有差異；另外使用 羅吉斯迴歸分析 (Logistic Regression Analysis) 探討新移民孕婦與本國籍產婦選擇生產模 式之影響因素。研究結果顯示，在使用剖腹生產方面，本國籍產婦有 73,240 人，佔 34.

50% ；新移民產婦有 3,413 人，佔 20.25% （ c2=1426.0985 ， p<0.0001 ），意即孕婦國 籍與生產模式有高度顯著相關。依據羅吉斯迴歸分析結果顯示，新移民孕婦選擇剖腹生 產約為本國籍孕婦的 0.5 倍，（ OR=0.504 ； 95%CI , 0.459-0.553 ； p <0.0001 ）。由此 可見本國籍孕婦較新移民孕婦偏好選擇剖腹生產。

基於本研究的研究發現，建議相關衛生主管機關：（ 1. 透過教育導正民眾的正確生產 觀念， 2. 利用媒體文宣提供孕婦正確的生產資訊， 3. 嚴格規範剖腹生產標準，並加強 剖腹生產案件審查）；建議各級醫療院所與醫院管理階層：（ 1. 需提高醫療照護品質

， 2. 醫療人員生產觀念再教育， 3. 設立新移民孕婦專門門診， 4. 加強新移民家庭之社 區醫療服務）。

To Explore the Delivery Mode and the Influencing Factors b etween the Taiwanese Pregnant Women and Immigrated P

regnant women in Taiwan

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The average cesarean section rates in Taiwan ranged from 32% to 34%, and there are about 365 thousand i mmigrant mates residing Taiwan between January 1987 and December 2005. The purpose of this study wa s to explore the delivery mode and its influencing factors between the Taiwanese pregnant women and im migrated pregnant women in Taiwan.

Cross-sectional data from Taiwan&apos;s National Health Insurance database was used, covering all 212,2 69 Taiwanese women and 16,858 immigrated pregnant women admitted for singleton deliveries, in 2002.

Chi-Square test was used to analyze the association of nationality with delivery mode. Logistic regression analysis was also performed to explore the factors affecting delivery mode between the Taiwanese pregnan t women and immigrated pregnant women in Taiwan, adjusting for variables such as clinical complications and characteristics of patient, physician, and institution. Results indicated that the odds of cesarean deliver y of Taiwanese pregnant women were about 2 times as high as immigrated pregnant women.

Based on the findings of this study, few recommended were generated to give to the relevant apparatus. Fo

r the local and central health departments, there are three proposed suggestions include 1) The accurate deli

very perceptions can be formed by the well-set education. 2) The use of media to provide the correct delive

ry information to the pregnant women. 3) The stricter orders to set up the standard for the cesarean section

as well as the censorship of performing the cesarean section. For the public/private hospitals and the manag

ement teams, three different admonitions also attempt to assistant them in issues like 1) Higher quality of g

eneral medical care 2) The extension of learning in terms of advanced delivery methods for all the relevant

hospital personnel.3) The formation of exclusive policlinic for the new coming immigrated women.4) The

enhancement of community health care services for immigrated families.