妊娠合并症是增加剖宫产的合理因素

• 作 者: 夏恩兰
• 机 构: 北京市复兴医院妇产科,
• 出 处: 实用妇科与产科杂志
• 发表日期: 1990年01期
• 关键词: 妊娠合并症 剖宫产 母婴病死率 产科指征 阴道分娩 第二产程 产妇 血液动力学 围产儿病死率 选择性剖宫产

近些年来剖宫产率不断上升,这种增加的趋势是否合理,引起了广泛的重视和讨论.过去对妊娠合并症分娩方式选择的传统观点是:只有产科指征存在才可行剖宫产,一般以阴道分娩为宜.然而越来越多的资料证明,耐一些严重妊娠合并症放宽剖宫产指征,在降低这些患者的母婴病死率方面起到了良好作用。据国内各医院统计,剖宫产指征近几年发生的变化中,妊娠合并症与并发症作为高危因素,已成为次于骨盆

In recent years, cesarean section rate rising, the trend of this increase is reasonable, aroused widespread attention and discussion.Past delivery of gestational complications in the past the traditional view is that: only obstetric indications exist only cesarean section, Generally vaginal delivery is appropriate.However, more and more data prove that some severe pregnancy complications to relax indications for cesarean section in reducing the maternal and child mortality in these patients has played a good role. According to statistics from domestic hospitals, cesarean section indications changes in recent years, complications and complications of pregnancy as a risk factor, has become the second pelvis