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目的探讨和分析非洲桑给巴尔奔巴岛地区剖宫产的指征及原因,以提高产科质量。方法选择2008～2011年奔巴岛AbdullaMzee医院行剖宫产的564例病例,用回顾性分析的方法进行统计。结果奔巴岛Abdulla Mzee医院的剖宫产率为10.01%。剖宫产的主要原因为头盆不称(27.13%)、瘢痕子宫(23.40%)、重度子痫前期及子痫(13.30%)、胎儿因素(9.75%)、胎儿宫内窘迫(9.40%)、妊娠合并症(6.91%)等。结论剖宫产在处理难产及某些孕期合并症、并发症,降低孕产妇和围产儿死亡率方面发挥了极大的作用,但是在非洲这种医疗条件比较落后的地区,剖宫产仍存在着很大的风险,不必要的剖宫产术并不能减少产后出血率及新生儿发病率。当地医护人员应提高助产技术水平,建立并完善正规的产前检查系统,以提高产科质量。
Objective To explore and analyze the indications and causes of cesarean section in Pemba Island in Zanzibar, Africa so as to improve the quality of obstetrics. Methods 564 cases of cesarean section at AbdullaMzee Hospital, Pemba, from 2008 to 2011 were selected and analyzed retrospectively. Results Cesarean section rate was 10.01% at Abdulla Mzee Hospital, Pemba. The main causes of cesarean section were cephalopelvic disproportion (27.13%), scar uterus (23.40%), severe preeclampsia and eclampsia (13.30%), fetal factors (9.75%), fetal distress , Pregnancy complications (6.91%) and so on. Conclusions Cesarean section has played a significant role in the management of complications and complications during pregnancy and some pregnancies, as well as maternal and perinatal mortality reductions, but in Africa where cesarean sections remain relatively poor medical conditions With great risk, unnecessary caesarean section does not reduce postpartum hemorrhage and neonatal morbidity. Local medical staff should improve midwifery skills, establish and improve the formal prenatal screening system to improve obstetric quality.