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目的探讨剖宫产术式、剖宫产率及剖宫产指征的变化和对产妇病率、围产儿病死率的影响。方法选择10年间剖宫产病例1100例,分析剖宫产术式、剖宫产率及剖宫产指征的变化,剖宫产率与产妇病率、围产儿病死率的关系。结果①剖宫产术式向新式剖宫产转变;②剖宫产率逐年上升;③在剖宫产指征变化中,胎儿窘迫、难产因素、社会因素分别占第一、二、三位,社会因素显示逐年升高;④孕产妇病率、围产儿病死率逐年趋于稳定。结论剖宫产术式的变化,剖宫产率升高,在一定范围内降低了产妇病率、围产儿病死率,但并未随剖宫产率继续升高,产妇病率、围产儿的病死率大幅度下降。
Objective To investigate the changes of cesarean section, cesarean section rate and cesarean section indications and its influence on maternal morbidity and perinatal mortality. Methods A total of 1100 cases of cesarean section were selected in 10 years. The changes of cesarean section, cesarean section rate and indication of cesarean section were analyzed. The relationship between cesarean section rate and maternal morbidity and perinatal mortality was analyzed. Results ① The cesarean section changed to new cesarean section; ② The rate of cesarean section increased year by year; ③ The changes of cesarean section indications, fetal distress, dystocia and social factors accounted for the first, second and third place respectively, Social factors show increasing year by year; ④ Maternal morbidity, perinatal mortality tends to be stable year by year. Conclusion Cesarean section changes, cesarean section rate increased within a certain range to reduce maternal morbidity, perinatal mortality, but did not continue to increase with the cesarean section rate, maternal morbidity, perinatal The mortality rate dropped significantly.