论文部分内容阅读
目的分析剖宫产的原因,探讨降低剖宫产率的措施。方法某院2009、2010、2011年3年所做的4310例剖宫产病历进行回顾性总结,分析及剖宫产的原因。结果 2009、2010和2011年剖宫产率分别为47.49%、49.53%和51.81%,呈逐年上升的趋势。3年剖宫产指征中瘢痕子宫所占比例是逐年升高,尤其是2011年最高(χ~2=6.821,P﹤0.01)。胎儿窘迫、社会因素、臀位、巨大儿、羊水过少、脐绕颈、产程异常、妊娠合併症及并发症等统计学处理均无明显差异(P﹥0.05)。结论超声产前检查警示的风险是剖宫产率增高的主要因素。因瘢痕子宫所致的剖宫产是剖宫产率逐年上升的主要原因。
Objective To analyze the causes of cesarean section and to explore the measures to reduce the rate of cesarean section. Methods A retrospective summary of 4310 cases of cesarean section made by a hospital in 2009, 2010 and 2011 was conducted, and the causes of cesarean section were analyzed. Results The rates of cesarean section in 2009, 2010 and 2011 were 47.49%, 49.53% and 51.81%, respectively, showing an increasing trend year by year. Cesarean indications in 3 years, the proportion of scarring uterus is increasing year by year, especially in 2011 the highest (χ ~ 2 = 6.821, P <0.01). Fetal distress, social factors, breech, huge children, oligohydramnios, umbilical cord neck, birth disorders, complications and complications of pregnancy and other statistical treatment were not significantly different (P> 0.05). Conclusion The risk of ultrasound prenatal warning is the main factor of cesarean section rate increase. Cesarean section due to scarring of the uterus is the main cause of cesarean section rate increases year by year.