论文部分内容阅读
目的探讨剖宫产临床指征。方法本次研究选择的对象共1000例,均为我院2008年6月至2012年8月收治的剖宫产患者,回顾分析临床资料。结果本次研究非社会因素剖宫产共760例,占76%。其中经产妇210例,占27.6%;初产妇550例,占72.4%。经产妇产检次数、终止妊娠孕周、单胎出生体重、新生儿窒息率、产后出血率与初产妇差异有统计学意义(P<0.05)。单一因素较少,多为2个及以上原因,经产妇依次为瘢痕子宫、胎儿宫内窘迫、臀位、社会因素、子痫前期、骨盆因素。初产妇依次为社会因素、胎儿宫内窘迫、骨盆因素、臀位、产程延长、巨大儿。结论医务工作者和社会需向育龄期妇女加强健康宣教和系统化围产期保健,使其正确认识剖宫产和自然分娩,了解剖宫产并非绝对安全分娩方式。提高阴道助产技术水平,开展无痛分娩,做好正确的舆论指导,对剖宫产指征严格掌握,以降低剖宫产率,提高产科质量。
Objective To investigate the clinical indications of cesarean section. Methods The study selected a total of 1000 subjects, all of our hospital from June 2008 to August 2012 cesarean section patients, review the clinical data. Results The study of non-social factors, a total of 760 cases of cesarean section, accounting for 76%. Among them, 210 were maternal, accounting for 27.6%; primipara was 550, accounting for 72.4%. The number of maternal births, termination of gestational gestational age, single birth weight, neonatal asphyxia, postpartum hemorrhage rate and primipara differences were statistically significant (P <0.05). Single factor less, mostly 2 and more reasons, followed by maternal uterine scar, fetal distress, breech, social factors, preeclampsia, pelvic factors. Primial followed by social factors, fetal distress, pelvic factors, breech, prolonged labor, huge children. Conclusion Medical workers and society need to strengthen healthy education and systematic perinatal care for women of childbearing age so as to make them correctly understand caesarean section and natural childbirth. Understanding cesarean section is not an absolute safe delivery mode. Improve the level of vaginal delivery of midwifery, painless childbirth, correct guidance of public opinion, strict indications of cesarean section to reduce cesarean section rate and improve the quality of obstetrics.