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目的:探讨社会因素剖宫产的原因构成及干预措施。方法:对2006年1月~2010年11月汤溪镇中心卫生院2 230例住院足月分娩产妇的相关资料进行回顾性分析,分析其剖宫产率、剖宫产指征,社会因素剖宫产构成比。结果:2 230例孕妇中剖宫产980例(46.30%),其中社会因素剖宫产420例,占剖宫产总数的46.22%。社会因素构成包括孕产妇及家属强烈要求剖宫产290例,其中缺乏阴道分娩信心140例、分娩知识认知不足120例、封建思想影响30例;医源性因素130例,其中回避医疗风险80例、年轻医师阴道助产技术不熟练26例、医生责任心不强14例、经济利益驱动10例。结论:社会因素剖宫产原因构成复杂,通过健康教育、推广导乐分娩和镇痛分娩、提高产科医生综合素质、营造和谐良好医疗环境可降低社会因素剖宫产。
Objective: To investigate the causes of cesarean section of social factors and intervention measures. Methods: A retrospective analysis was conducted on the data of 2 230 maternal full-term deliveries in Tangxi Town Central Hospital from January 2006 to November 2010, and their cesarean section rates, cesarean section indications and social factors were analyzed retrospectively Palace composition ratio. Results: Among 2302 pregnant women, 980 cases were cesarean section (46.30%). There were 420 cases of cesarean section, accounting for 46.22% of the total. Social factors include maternal and family members strongly require cesarean section 290 cases, of which 140 cases of lack of vaginal delivery confidence, knowledge of childbirth less than 120 cases, feudal thought of 30 cases; iatrogenic factors in 130 cases, of which avoidance of medical risk 80 For example, the young physician unskilled vaginal midwifery technique in 26 cases, the doctor’s sense of responsibility is not strong in 14 cases, 10 cases driven by economic interests. Conclusion: The causes of cesarean section of social factors are complicated. Health education promotes the delivery of childbirth and analgesia, improves the comprehensive qualities of obstetricians, and creates a harmonious and good medical environment to reduce cesarean section with social factors.