浅析六年间剖宫产指征的变化

Analysis on the Alterations for Indication of Cesarean Section Past 6 Years

目的 :选择更有利于母婴安全的分娩方式。方法 :采用回顾性分析的方法 ,对 1995年至 2 0 0 0年本院分娩总数、剖宫产数、剖宫产率、剖宫产指征的资料进行分析。结果 :剖宫产率逐年上升 ,其中胎儿宫内窘迫 ,相对头盆不对称、臀位、已成为剖宫产的主要指征 ,社会因素指征明显增加。结论 :剖宫产率上升的原因包括医疗和社会两方面的因素 ,提高医疗质量 ,开展无痛分娩可降低剖宫产率。

Objective: To explore a safe delivery method for both mother and baby. Methods: A retrospective analysis was carried out on cesarean section cases in the hospital from 1995 to 2000. Relults: The cesarean section rate was steadily increased every year and its major indications were fetal distrcess, cephalopelvic disproportion, and breach presentation. The socical factors were obviously increased. Conclusion: The cesarean rection rate is going up because of both medical and social factors. In order to improve the obstetric quality, the indications for cesarean section must be mastered. Painless delivery may decrease the cesarean section rate.