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目的:探讨剖宫产率上升的原因和可能降低剖宫产率的有效途径。方法:对沈阳市妇女儿童保健中心围产期门诊2005年1月1日~2008年12月31日间分娩产妇的分娩资料进行回顾性分析,探讨剖宫产指征及其原因。分析剖宫产率的变化趋势及剖宫产指征的变化。结果:4年间该院分娩产妇1 496例,其中剖宫产618例,剖宫产率为41.31%,剖宫产率逐年上升,其中初产妇占89.20%,年龄25~30岁产妇占87.54%。剖宫产指征依次为胎儿因素、母儿因素、社会因素、母亲因素。在选择剖宫产产妇中,城市产妇占85.60%,农村产妇占14.40%。剖宫产指征的变化中,相对性头盆不称、社会因素造成的剖宫产率逐年升高,居第1、2位;胎儿窘迫居第3位。结论:剖宫产率的上升是诊疗技术与社会因素综合作用的结果,正确掌握剖宫产指征是降低剖宫产率的有效途径。
Objective: To explore the reasons for the rising rate of cesarean section and the possible ways to reduce the rate of cesarean section. Methods: A retrospective analysis of maternal delivery data from January 1, 2005 to December 31, 2008 in Perinatial Clinic of Women and Children Health Center of Shenyang City was conducted to investigate the indications and causes of cesarean section. Analysis of cesarean section rate trends and cesarean section indications change. Results: There were 1 496 cases of labor in this hospital in 4 years, including 618 cases of cesarean section and 41.31% of cases with cesarean section. The rate of cesarean section increased year by year, including 89.20% of primiparous women and 87.54% of women aged 25-30 years. . Cesarean indications followed by fetal factors, maternal and child factors, social factors, maternal factors. In the choice of cesarean section of maternal, urban maternity accounted for 85.60%, rural males accounted for 14.40%. Cesarean indications change, the relative lack of head basin, cesarean section rate caused by social factors increased year after year, ranking No. 1; fetal distress ranks third. Conclusion: The increase of cesarean section rate is the result of the combined effect of diagnosis and treatment and social factors. Correctly grasp the indications of cesarean section is an effective way to reduce the rate of cesarean section.