| Summary: | 碩士 === 臺北醫學大學 === 醫務管理學系 === 94 === The average cesarean section rates in Taiwan ranged from 32% to 34%, and there are about 365 thousand immigrant mates residing Taiwan between January 1987 and December 2005. The purpose of this study was to explore the delivery mode and its influencing factors between the Taiwanese pregnant women and immigrated pregnant women in Taiwan.
Cross-sectional data from Taiwan's National Health Insurance database was used, covering all 212,269 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 pregnant 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 delivery 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. For the local and central health departments, there are three proposed suggestions include 1) The accurate delivery perceptions can be formed by the well-set education. 2) The use of media to provide the correct delivery 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 management teams, three different admonitions also attempt to assistant them in issues like 1) Higher quality of general 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.
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