剖宫产率增高的原因分析及干预措施

The Clinical Analysis and Intervention Study for Increasing Cesarean Section Rate

目的:通过比较剖宫产指征的变化,分析剖宫产率增高的原因及影响因素,为降低剖宫产率提供可靠依据。方法:对本院2001年1月-2010年12月13 941例剖宫产病例进行回顾性资料分析。结果:剖宫产率呈逐年增高趋势,主要剖宫产指征依次是社会因素、胎儿窘迫、瘢痕子宫、胎膜早破、脐带缠绕、胎位异常、巨大胎儿等。结论:剖宫产率逐年升高,主要是由社会因素、胎儿窘迫、瘢痕子宫、胎膜早破等因素所致。应加强围产期保健及分娩知识宣传,加强医疗保健综合服务能力,合理把握剖宫产指征与时机。

Objective To analyze the rate and changed indications of cesarean section,so as to provide a reliable basis for reducing the cesarean section rate.Methods The clinical datas of 13 941 cases of patients underwent cesarean section from January 2001 to December 2010 were analyzed retrospectively.Results The cesarean section rate were increased year by year,the main indications in order was social factor,fetal distress,uterine scar,premature rupture of membrane,cord entanglement,fetal anomaly,fetal macrosomia and so on.Conclusion The increasing cesarean section rates were mainly caused by social factor,fetal distress,uterine scar,premature rupture of membrane.It showed that propaganda perinatal care and delivery general knowledge should be developed,the capacity of health care integrated services should be enhanced,and reasonable indication and situation of cesarean section should be controlled.