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目的:探讨产科患者的一般情况,为加强产科管理、提高妇婴健康提供科学依据。方法:回顾性分析1 304例产妇的年龄、职业、孕次、产次、分娩方式、剖宫产指征、婴儿情况。结果:1 304例产妇中剖宫产332例,剖宫产率25.46%,剖宫产指征第1位是瘢痕子宫151例占45.48%;早产率2.22%,过期产率0.76%,低出生体重率2.45%,巨大儿发生率7.41%。结论:应加强孕期合理营养指导,降低巨大儿发生率;加强对孕妇分娩方式选择的正确引导,严把初产妇剖宫产指征;加强医务人员对疤痕子宫阴道试产适应证的培训,有效降低剖宫产率。
Objective: To discuss the general situation of obstetric patients and provide scientific basis for strengthening obstetrics management and improving the health of women and children. Methods: Retrospective analysis of 1 304 cases of maternal age, occupation, pregnancy times, delivery times, mode of delivery, cesarean section indications, infants. Results: There were 332 cases of caesarean section in 1 304 cases and 25.46% of cesarean section cases. The first case of cesarean section indications was scarring uterus 151 cases (45.48%), the premature birth rate was 2.22%, the overdue yield was 0.76% Weight rate 2.45%, macrosomia incidence of 7.41%. Conclusion: It is necessary to strengthen the guidance of reasonable nutrition during pregnancy and reduce the incidence of macrosomia in children. To improve the choice of delivery method for pregnant women, to guide the cesarean section of primipara; to strengthen the training of medical staff on the indications of vaginal trial of scars Reduce cesarean section rate.