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剖宫产率升高原因探讨 被引量:6

Analysis of the Reasons of the Increase of Cesarean Section
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摘要 目的:探讨剖宫产率增高的原因及降低剖宫产率的对策。方法:回顾性分析1990年至2005年间住院分娩产妇11 921人次分娩方式及新生儿结局。结果:剖宫产率一直呈快速上升趋势。上升原因既有社会原因,也有医源性原因。过度剖宫产并不降低新生儿窒息及新生儿死亡率的发生。结论:科学严密的产程监护才是降低新生儿窒息和新生儿死亡的关键所在。剖宫产应有循证医学指征。 Objective: To explore the reasons of the increase of cesarean section and provide countermeasures to reduce it. Method: 11 921 cases were analyzed, including their delivery methods and the conditions of the neonates in the past 16 years from 1990 to 2005. Results: Cesarean section rate was on a rapid rise, from 11.32 % in 1990 to 50,72% in 2000, There were both social and iatrogenic reasons. Conclusion: Over cesarean section could not reduce the rate of asphyxia neonatorum and neonatal mortality. So cesarean section should be performed according to the clinical indications,
出处 《大理学院学报(综合版)》 CAS 2008年第4期18-19,25,共3页 Journal of Dali University
关键词 剖宫产率 剖宫产指征 社会因素 cesarean section rate indication of cesarean section social factor
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