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目的了解景宁县产科现状,掌握产科薄弱环节,寻求对策。方法对景宁县2007—2011年产科质量有关指标进行回顾性分析。结果县级医院住院分娩率逐年增高,孕产妇死亡率下降,巨大儿发生率及剖宫产率持续增高,阴道自然分娩率持续下降。结论降低巨大儿的发生率和降低剖宫产率是今后该县产科质量建设的重点,孕期管理应加强体重控制、营养指导,加强分娩知识宣传,政府应明令禁止无指征的剖宫产,倡导自然分娩的社会氛围。
Objective To understand the status quo of obstetrics in Jingning County and to master the weak links in obstetrics and seek for countermeasures. Methods Retrospective analysis of the related indicators of obstetrics quality from 2007 to 2011 in Jingning County. Results The hospital delivery rate of county hospitals increased year by year, the maternal mortality rate decreased, the incidence of macrosomia and cesarean section rate continued to increase, and the vaginal natural delivery rate continued to decline. Conclusions To reduce the incidence of macrosomia and reduce the rate of cesarean section is the focus of obstetrics and gynecology quality construction in this county in the future. Pregnancy management should strengthen the control of weight and nutrition and strengthen knowledge of childbirth. The government should prohibit cesarean section without indication, Promote the social atmosphere of natural childbirth.