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目的控制非医学指征的剖宫产因素,以降低剖宫产率。方法将我院2010年3月～2011年2月2120例住院产妇列为观察组,2009年3月～2010年2月1583例住院产妇列为对照组,分析两组的分娩方式、剖宫产指征顺位因素以及两组产后出血和新生儿窒息的发生率。结果观察组剖宫产率为46.42%,社会因素占7.42%;对照组剖宫产率为64.94%,社会因素占58.07%,两组比较差异有统计学意义(P<0.01)。通过剖宫产率目标控制,位于剖宫产指征顺位第一位的社会因素下降为倒数第二位;两组产后出血发生率比较差异无统计学意义(P>0.05);新生儿窒息发生率比较差异亦无统计学意义(P>0.05)。结论通过制定剖宫产率目标,控制非医学指征的剖宫产,可显著降低剖宫产率。
Objective To control caesarean factors in non-medical indications to reduce cesarean section rates. Methods From March 2010 to February 2011, 2120 inpatients were enrolled as observation group. From March 2009 to February 2010, 1,583 inpatients were enrolled as the control group. The methods of delivery, cesarean section Indications of rank factors as well as the incidence of postpartum hemorrhage and neonatal asphyxia in both groups. Results The rate of cesarean section was 46.42% in the observation group and 7.42% in the social group. The rate of cesarean section in the control group was 64.94% and the social factor was 58.07%. There was significant difference between the two groups (P <0.01). Through the control of cesarean section rate, the social factor located at the first place in the cesarean section showed the second lowest. The incidence of postpartum hemorrhage in the two groups had no significant difference (P> 0.05). Neonatal asphyxia The incidence was no significant difference (P> 0.05). Conclusion Cesarean section rates can be significantly reduced by establishing cesarean section rates and controlling caesarean section with non-medical indications.