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目的分析剖宫产率及剖宫产指征的变化情况,为降低剖宫产率寻找对策。方法回顾性分析2005—2011年剖宫产产妇住院病历资料,统计各年度剖宫产率、阴道助产率、新生儿窒息率、围生儿死亡率,同时对剖宫产手术指征的变化进行分析总结。结果剖宫产率呈逐年上升趋势,2005年剖宫产率为30.11%,2011年上升至58.83%,差异有统计学意义(P<0.05)。其中社会因素剖宫产率由2005年的15.13%上升至2011年的23.21%,差异有统计学意义(P<0.05)。2005—2009年剖宫产指征以头位难产为第一位,2010—2011年剖宫产指征以社会因素占首位。结论剖宫产率升高与非医学指征的社会因素有关。
Objective To analyze the changes of cesarean section rate and indication of cesarean section, and to find a way to reduce the rate of cesarean section. Methods The data of inpatient cesarean section in 2005-2011 were analyzed retrospectively. The cesarean section rate, vaginal delivery rate, neonatal asphyxia rate and perinatal mortality rate were analyzed retrospectively, and the changes of cesarean section indications Analyze and summarize. Results The rate of cesarean section showed an upward trend year by year. The rate of cesarean section in 2005 was 30.11% and increased to 58.83% in 2011 (P <0.05). Among them, the social factor rate of cesarean section increased from 15.13% in 2005 to 23.21% in 2011, the difference was statistically significant (P <0.05). 2005-2009 indications of cesarean section to the first bit of labor as the first, 2010-2011 indications of cesarean section with social factors in the first place. Conclusion The increase of cesarean section rate is related to the social factors of non-medical indications.