论文部分内容阅读
目的分析造成剖宫产率升高及指征变化的原因,探讨降低剖宫产率的对策。方法对河东区妇幼保健院2005年1月~2010年12月住院剖宫产分娩的6 499例患者的病历资料进行回顾性分析。结果(1)在剖宫产指征构成比中,胎儿窘迫居第一,其次为社会因素、头盆不称、合并症及瘢痕子宫。(2)剖宫产率在2009~2010年有明显下降,主要是社会因素和胎儿窘迫的构成比下降造成。结论社会因素和胎儿窘迫明显增加了剖宫产率,使阴道分娩率下降,因此严格掌握剖宫产指征和严密观察产程,降低妊娠合并症,加强围产期保健,才能有效降低剖宫产率。
Objective To analyze the causes of the increase of cesarean section rate and the change of indications, and to explore the strategies to reduce the rate of cesarean section. Methods Retrospective analysis was made on the records of 6 499 patients who were hospitalized for cesarean delivery in Hedong District Maternal and Child Health Hospital from January 2005 to December 2010. Results (1) Among the constituent ratios of cesarean section indications, fetal distress ranks first, followed by social factors, cephalopelvic disproportion, complications and scar uterus. (2) The rate of cesarean section decreased significantly from 2009 to 2010, mainly due to the decline of the constituent ratio of social factors and fetal distress. Conclusion Social factors and fetal distress significantly increase the rate of cesarean section, so vaginal delivery rate decreased, so strictly control the cesarean section indications and strict observation of labor, reduce pregnancy complications, enhance perinatal care, can effectively reduce the cesarean section rate.