摘要
目的:探讨剖宫产率上升原因,寻找降低剖宫产率的可能途径。方法:统计1999-3-12～2000-4-8在张家口医学院第一附属医院427例剖宫产病历,分析各种剖宫产原因及所占比例。结果:胎儿因素197例(46.1％),其中胎儿宫内窘迫86例(20.1％);母体因素104例(24.4％),其中胎膜早破37例(8.796);母儿因素72例(16.9％);社会因素54例(12.6％)。结论:胎儿因素是剖宫产率上升的主要原因,要求剖宫产也占了很大比例,要降低剖宫产率需要医生和社会共同提高认识。
Objective: To probe into the reason of the rising of Caesarean section rate and find out the way of reduce it. Methods: Analyse the reason of 427 Caesarean section cases, delivered at the First Affiliated Hospital of Zhangjiakou Medical College from March 12,1999 to April 8,2000, the reasons of Caesarean section were analysed. Results: The reasons related to fetus were 197 cases, (about 46. 1%) , 86 cases intrauterine fetal distress, (about 20.1 %). The reasons related to mother were 86 cases, (about 24. 4% ), of which 37 cases were for the reason of premature rupture of membrane, (about 8.7%). The reasons related to both fetus and mother were 72 cases, (about 16.9%), related to society was 54 cases, (about 12.6%). Conclusion: The main reason of the rising of Caesarean section is related to fetus, and requested Caesarean section accounts for large rate too. It needs obstetrician and society together to decrease the rate of Caesarean section.
