剖宫产率与剖宫产指征的变化分析

Study on Change of Indications for Cesarean Section and Cesarean Delivery Rate

目的总结6年来剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的可行措施。方法回顾性分析6年来剖宫产的临床资料。结果(1)剖宫产率呈逐年上升:2003年为43.2%,相比1998年18.2%上升2.4倍(P<0.01);(2)剖宫产指征中以社会因素最明显(P<0.01),已跃居第2位;(3)胎儿宫内窘迫、妊娠合并症等并发症、臀位为指征的剖宫产增加。结论剖宫产指征已放宽,社会因素的剖宫产显著增加是造成剖宫产率上升的主要原因。降低剖宫产率的关键是严格掌握剖宫产指征,控制因社会因素而致的不必要剖宫产。

Objective To conclude the change of indications for cesarean section and cesarean delivering rate in our hospital within 6 years,and to investigate the problem of decreasing cesarean delivery rate. Methods The clinical materials of cesarean section in recent 6 years were studied retrospeetively. Results The eesarcon ratewasincreased by year43.2% in2003 that 2.4 fold higher than 18.2% in 1998. The soeial factor as indication for cesarean section had significant risen to second place. The indications such as fetal distress, pregnant complications, breech presentation for cesarean section had increased. Conclusion Indications for cesarean section had been used too easily and socisl factor as indication for cesarean section increased markedly. There might be the main causes of the increase of cesarean delivery rate. The key to decreasing cesarean delivery rate should lay in restricting indications for cesarean section and controlling social factors.