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目的:通过对剖宫产指征的分析探讨剖宫产率上升的原因。方法:采用回顾性分析的方法:1998年1月—2010年1月对528例剖宫产指征进行分析。结果:剖宫产指征中位于前8位的是胎儿宫内窘迫122例,脐带绕颈82例,臀位61例,社会因素53例,二次剖宫产46例,羊水过少38例,妊娠高血压综合征32例,胎膜早破24例,占剖宫产总数的86.74%。结论:加强孕产期保健,积极治疗妊娠合并症和并发症,提高医护人员的责任心,改变人们的认知观念,加强产时胎儿监护可有效地降低剖宫产率。
OBJECTIVE: To investigate the causes of cesarean section rate increase through the analysis of cesarean section indications. Methods: A retrospective analysis of the method: January 1998 -2010 in January 528 cases of cesarean indications were analyzed. Results: Among the top 8 cesarean indications, there were 122 cases of fetal distress, 82 cases of umbilical cord around the neck, 61 cases of breech, 53 cases of social factors, 46 cases of secondary cesarean section, 38 cases of oligohydramnios , Pregnancy induced hypertension syndrome in 32 cases, premature rupture of membranes in 24 cases, accounting for 86.74% of the total number of cesarean section. Conclusion: To strengthen maternal health care, active treatment of complications and complications of pregnancy, improve the sense of responsibility of health care workers, change people’s perceptions and strengthen the fetus during labor can effectively reduce the cesarean section rate.