论文部分内容阅读
目的:分析剖宫产率的变化,探讨医生对手术指征的掌握情况。方法:回顾性分析忻州市妇幼保健院2006年1月~2008年12月剖宫产率、手术指征的构成比。结果:剖宫产率逐年上升;手术指征包括绝对指征(骨盆狭窄、头盆不称、横位、瘢痕子宫、前置胎盘、胎盘早剥、产程阻滞)和相对指征(胎儿窘迫、臀位、过期妊娠、早产或胎儿生长迟缓、巨大儿、产科合并证及并发症)及无医学指征的剖宫产(即社会因素)。结论:加强围产期保健,减少妊娠并发症及巨大儿的发生率,重视产程观察,正确处理难产,严格掌握剖宫产指征,有助于剖宫产率的下降。
Objective: To analyze the changes of cesarean section rate and to explore the doctor’s grasp of surgical indications. Methods: A retrospective analysis of Xinzhou Maternal and Child Health Hospital from January 2006 to December 2008 cesarean section rate, the constituent ratio of surgical indications. Results: The rate of cesarean section increased year by year. The operation indications included absolute indications (pelvic stenosis, cephalopelvic disproportion, transverse position, uterine scar, placenta previa, placental abruption, obstruction of labor) and relative indications , Breech, outdated pregnancy, premature birth or fetal growth retardation, macrosomia, obstetric complications and complications) and cesarean section without medical indications (ie, social factors). Conclusion: To strengthen perinatal care, reduce the incidence of pregnancy complications and macrosomia, emphasis on labor observation, correct treatment of dystocia, strict control of cesarean indications, contribute to the decline in cesarean section rate.