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目的:回顾文水县人民医院2004~2008年剖宫产率和剖宫产指征,探讨剖宫产与母婴病死率的关系。方法:对该院2004年1月~2008年12月5年间2 355例产妇的剖宫产的指征和结局进行回顾性分析。结果:5年平均剖宫产率为27.40%,且有逐年增高的趋势;与剖宫产有关的母亲死亡0例,剖宫产切口液化25例,发生率1.06%;与剖宫产有关的围生儿死亡3例,死亡率约为1.27‰,同期围生儿死亡11例,死亡率约为1.28‰。剖宫产母婴死亡分别为0例和3例,而行阴道分娩者母婴死亡分别为1例和11例。结论:规范术前诊断、正确处理产程、严格掌握剖宫产指征,是降低剖宫产率,提高产科质量的关键。
Objective: To review the cesarean section rate and cesarean section indications of Wenshui County People’s Hospital from 2004 to 2008 and explore the relationship between cesarean section and maternal and infant mortality. Methods: A retrospective analysis was performed on the indications and outcomes of cesarean section among 2 355 mothers in the hospital from January 2004 to December 2008. Results: The 5-year average rate of cesarean section was 27.40%, and there was a trend of increasing year by year. There were 0 maternal deaths associated with cesarean section and 25 cases of cesarean section incision liquefaction with a rate of 1.06% Perinatal death in 3 cases, the mortality rate was about 1.27 ‰, perinatal deaths in the same period in 11 cases, the mortality rate was about 1.28 ‰. Cesarean section mother and child death were 0 cases and 3 cases, respectively, and vaginal delivery of maternal and infant death were 1 case and 11 cases. Conclusion: To standardize the preoperative diagnosis, correctly handle the labor process and strictly control the indication of cesarean section is the key to reduce the rate of cesarean section and improve the quality of obstetrics.