论文部分内容阅读
目的分析近年来剖宫产率升高原因,找出降低剖宫产率的措施。方法对台州市路桥区2000年1月～2007年12月住院足月分娩病例进行回顾性分析。结果剖宫产率呈逐年上升趋势,2000-2007年剖宫产率由27.01%上升到45.83%,2000年与2007年相比,差异有统计学意义(P<0.05);胎儿窘迫、相对头盆不称为剖宫产主要指征,但其构成比有下降的趋势,而非医学指征的社会因素和珍贵儿为指征的剖宫产率逐年增加,2000年与2007年相比,差异有统计学意义(P<0.05)。结论剖宫产手术指征已远远超过单纯医学指征范围,孕妇及医生的主观意愿影响分娩方式的合理选择,应严格掌握剖宫产指征,降低剖宫产率。
Objective To analyze the causes of cesarean section rate increase in recent years and find out the measures to reduce the rate of cesarean section. Methods Retrospective analysis was made on the cases of term delivery in Luqiao District, Taizhou from January 2000 to December 2007. Results The rate of cesarean section showed an upward trend year by year. The rate of cesarean section increased from 27.01% to 45.83% between 2000 and 2007, with a significant difference between 2000 and 2007 (P <0.05). Fetal distress, relative head Pot does not refer to the main indications for cesarean section, but its composition ratio has a downward trend, rather than social indicators of medical indications and precious children as the indication of cesarean section rate increased year by year in 2000 compared with 2007, The difference was statistically significant (P <0.05). Conclusion The indications for cesarean section have far exceeded the scope of simple medical indications. The subjective intention of pregnant women and doctors will affect the reasonable choice of mode of delivery. Cesarean section indications should be strictly controlled to reduce the rate of cesarean section.