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目的了解福建省助产机构剖宫产率现状,探讨减少剖宫产的措施。方法对2014年省内536所助产机构的产科数据进行统计分析。结果剖宫产占33.9%(214 414/632 457),阴道顺产占65.2%,阴道手术产占0.9%;3种剖宫产指征中,非难产因素占49.4%,难产因素占37.9%,社会因素占12.7%。不同级别医院分娩方式比较,机构级别越高剖宫产与阴道手术产占比越高,乡镇剖宫产占19.4%最低,部队医院阴道手术产占比最低(0.2%);经济文化水平较高的沿海,社会因素造成的剖宫产比例比山区低。结论福建省剖宫产控制成效较好,但仍有下降空间。应加强基层机构剖宫产术指征的把控,提高阴道手术产比例,减少社会因素造成的剖宫产。
Objective To understand the current status of cesarean section in midwifery in Fujian Province and to explore ways to reduce cesarean section. Methods The obstetric data of 536 midwifery institutions in 2014 were statistically analyzed. Results Cesarean section accounted for 33.9% (214 414/632 457), vaginal birth accounted for 65.2%, vaginal surgery accounted for 0.9%; 3 cesarean indications, non-dystocia accounted for 49.4%, dystocia accounted for 37.9% Social factors accounted for 12.7%. In different levels of hospital delivery mode, the higher the institution level, the higher the proportion of caesarean section and vaginal surgery was, the lowest was cesarean section in township (19.4%), the lowest was vaginal operation in military hospital (0.2%), the higher in economic and cultural level The proportion of cesarean section caused by social factors is lower than that in mountainous areas. Conclusions Fujian cesarean section control is effective, but there is still room for decline. Cesarean section should strengthen the grass-roots institutions to control the indications, to increase the proportion of vaginal surgery to reduce the social factors caused by cesarean section.