剖宫产上升原因分析

目的:探讨近年来剖宫产率居高不下的原因,以期降低剖宫产率。方法:对1996年1月至1997年12月489例剖宫产资料及2006年1月至2007年12月1690例剖宫产资料进行回顾性分析。结果:剖宫产率由十年前的18.00%上升到54.22%,明显高于WHO提出的目标。其中社会因素、胎儿宫内窘迫是剖宫产率上升的主要原因。结论:剖宫产率升高的原因主要为无医学指征的剖宫产增多所致.这与医患双方有关,降低剖宫产率不但要提高医护人员的技术水平,也要从患方着手,才能有效的降低剖宫产率。

Objective I＇m trying to explore the reason why the c-section rate stays at a high level in recent years, hoping to find an＇ffective way to decline the rate. Methods I have reviewed and analysed 489 cases of c-section from January, 1996 to December, 1997 as well as 1 690 records kept from January, 2006 to September, 2007.Results The rate has increased from 18.00% to 54122% in the past ten years, which is obviously higher than the goal proposed by WHO, the main causes of which are social fators and that the embryo feels suffocated in the womb.Conclusion What causes the increase of c-section rate is that more and more unnecessary c-sections are required, which involves both doctors and patients. Only by improving the techniques of doctors and nurses and making the patients have a better understanding of c-section can we decline the rate effectively.