1932例剖宫产指征分析

Analysis of the indications for 1932 cesarean section

目的通过对我院2003年1月～2006年12月1932例剖宫产病例进行回顾,分析总结我院剖宫产指征,探讨降低剖宫产率,提高自然分娩率,减轻产妇经济负担的方法。结果显示:我院近四年平均剖宫产率为38.23%,并出现逐年增高的趋势,主要表现为难产为指征的剖宫产率下降,孕期合并症及并发症和社会因素为指征的剖宫产率明显升高,胎儿窘迫、臀位、瘢痕子宫则无明显改变。结论降低剖宫产率需要医务工作者和社会共同努力。

Objective Studied retrospectively cesarean section of 1932 cases in our hospital from January 2003 to December 2006. Analyzed the indications for the cesarean section. Discuss how to decrease the cesarean section rate, increase natural childbirth rate, and lighten the economic burden of the pregnant woman. Results The average rate of cesarean section in our hospital in recent four years is 38,23%. And the rate increased year by year. The cesarean section rate decreased that the indications is difficult labor. The cesarean section rate increased significantly that the indications is pregnancy complications and social factors. The cesarean section rate did not change significantly that the indications is fetal distress, breech presentation and scarred uterus. Conclusions The cesarean section is related to the medical staff and the social factors. Ws should master the indications of cesarean section appropriately and try to decrease cesarean section rate.