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目的通过分析成都市剖宫产率在不同地区、不同医疗卫生机构分布的情况及其影响因素,提出降低剖宫产率,提高自然分娩率的措施。方法分析成都市2011年所有医疗卫生机构助产技术服务模式,分娩费用支付情况及不同地区不同单位剖宫产率情况,找出影响剖宫产率因素,提出干预措施。结果医疗因素、社会因素、经济因素和卫生行政管理欠缺均可以导致剖宫产率升高。结论控制剖宫产率工作是一项综合工作,建议通过卫生行政部门落实管理措施,提高医疗服务水平,开展人性化助产服务模式和进行经济引导等综合措施共同降低剖宫产率。
Objective To analyze the distribution of cesarean section in different regions and different medical and health institutions in Chengdu and its influencing factors, and to propose measures to reduce the rate of cesarean section and improve the rate of natural delivery. Methods Analyzed the mode of midwifery technical service, the payment of labor cost and the cesarean section rate in different hospitals in Chengdu in 2011, and found out the factors influencing the rate of cesarean section and proposed the intervention measures. Results Medical factors, social factors, economic factors and lack of health administration could lead to increased cesarean section rate. Conclusion The work of controlling the rate of cesarean section is a comprehensive work. It is suggested to reduce the rate of cesarean section by implementing comprehensive management measures, improving medical service level, carrying out humanized midwifery service mode and conducting economic guidance through health administrative departments.