摘要
目的:分析近5a来我院剖宫产率、围产儿死亡率、剖宫产指征的变化,指导临床合理掌握剖宫产。方法:统计近5a分娩总数、剖宫产率、剖宫产指征、围产儿死亡率进行分析。结果:近2a剖宫产率升高明显,围产儿死亡率呈下降趋势;5a来剖宫产指征顺位发生了明显变化,“胎儿宫内窘迫”渐占首位,“社会因素”剖宫产增多;剖宫产产后大流血行子宫切除机率明显高于阴道分娩者。结论:手术均存在着意外及风险,应合理掌握剖宫产指征,重视孕妇心理状况,尽量减少不必要的手术。
Objective:To analyses the changes of the rate of caesarean birth,the mortality of foetus and the indication of caesarean in chuxiong Hospital during 1996~2000.Method:To sum up the total number of the childbirth in the past 5 years,then to make an analysis on caesarean rate,caesarean birth indication and the foetus death rate.Results:The caesarean rate were obviously increase and the foetus death rate were remarkably declined.Conclusions:Taking the operative danger factors into consideration,it should properly master the indication of the caesarean birth and pay more attention to the psychological state of the pregnants.
关键词
剖宫产率
剖宫产指征
变迁
Caesarean birth rate
caesarean birth indication
change