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目的了解6种助产技术在全国各级医疗保健机构中的使用情况。方法采用信函问卷的方法调查了全国31个省、自治区、直辖市887所不同级别的医疗保健机构2002年助产技术的使用情况并进行分析。结果被调查的医疗保健机构平均剖宫产率为38.0%;会阴切开缝合术使用率为44.9%;胎头吸引术使用率为3.6%;产钳助产术使用率为1.9%;臀位牵引术使用率为1.4%,内倒转术使用率为0.2%。结论目前,剖宫产率偏高及会阴切开缝合术使用过于频繁,胎头吸引术、产钳助产术等阴道助产技术濒临荒废。卫生行政部门应该重视助产技术的培训,并加强对助产技术实施情况的监督管理。
Objectives To understand the use of six midwifery techniques in health care institutions at all levels in the country. Methods The method of letter questionnaire was used to investigate and analyze the use of midwifery techniques in 887 different levels of health care institutions in 31 provinces, autonomous regions and municipalities directly under the Central Government. Results The average cesarean section rate was 38.0% in the health care institutions surveyed. The rate of perineal incision and suture was 44.9%, the rate of fetal head aspiration was 3.6%, the forceps and midwifery use rate was 1.9% The rate of operation was 1.4% and the rate of intraoperative inversion was 0.2%. Conclusions At present, the high rate of cesarean section and perineal incision and suturing are used too frequently. Vaginal midwifery techniques such as fetal head suction and forceps midwifery are on the verge of ruining. Health administrative departments should pay attention to the training of midwifery technology and strengthen the supervision and administration of midwifery technology implementation.