剖宫产率上升的原因及对策

The Penetration Numeral Looked Splits the Caesarean Section Rate Rise the Reason and the Countermeasure

近年来,剖宫产率日益上升,严重影响母婴利益,作为教学医院,也影响产科的临床教学质量。为提高产科质量,确保母婴安全,我们通过回顾性分析发现,胎儿窘迫,胎位异常,巨大儿,社会因素是剖宫产率上升的主要原因。相应对策可以通过加强孕产期宣教,实行镇痛分娩,建立待产、分娩、恢复及产后为一体(labor-delivery-recovery,LDR)分娩模式,提高医护人员助产技术水平,健全法制建设等措施,旨在降低剖宫产率。

In recent years, the rate of caesarean section to rise day by day, affected the maternal infant benefit seriously, took the teaching hospital, also affected obstetrics the clinical quality of teaching. In order to improve obstetrics quality, guarantees the maternal infant safety, we analyze the discovery through the reviewminute, fetal distress, abnormal fetal position, fetal macrosomia, the social factor is splits the palace production rate rise the primary cause. The corresponding countermeasure may through the enhancement period of gestation and parturition propaganda, implement the analgesia childbirth, establishes the Labor-Delivery-Recovery（LDR） childbirth pattern, raises the medical care personnel midwifery technical level, measures and so on perfect legisla-tive work, are for the purpose of reducing rate of caesarean section.