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2010年世界卫生组织报道,我国剖宫产率46.2%,远远高于世界卫生组织推荐的15%[1]。杨柳等[2]对成都市2011年助产服务机构剖宫产率的调查报告显示2011年剖宫产率为58.57%;剖宫产率最高的医疗卫生机构不是转诊的终末三级助产技术服务机构,而是一家县级医疗卫生机构,剖宫产率达100%。随着我国各地二级医院剖宫产技术的娴熟和剖宫产率的上升,剖宫产后再次妊娠并予终止妊娠病例中的棘手问题也不断出现,常见的有:胎盘绒毛植入瘢痕致药物流产或人工流产术中大出血进而开腹修补子宫或子宫切除、中
2010 World Health Organization reported that China’s cesarean section rate of 46.2%, much higher than the World Health Organization recommended 15% [1]. Yang Liu et al [2] on the 2011 survey of cesarean section rate of midwifery institutions in Chengdu showed 58.57% of cesarean section in 2011; the highest cesarean section rate of medical and health institutions is not referred to the terminal three Production technology service agencies, but a county-level medical and health institutions, cesarean section rate of 100%. With the sophistication of cesarean section technology and the rate of cesarean section in secondary hospitals throughout China, the thorny problems in re-pregnancies and termination of pregnancy after cesarean section also continue to emerge. Common causes include scarring of placenta villi Medical abortion or abortion in the hemorrhage and then open abdominal repair uterus or hysterectomy, in