社会性因素致剖宫产率升高原因分析

Analysis on the related social factors of the increased rate of cesarean section

目的:分析社会性因素致剖宫产率升高的相关因素及对母婴的影响。方法:对1999年1月至2001年12月间在安阳市人民医院住院分娩的6135例孕妇进行回顾性分析,了解剖宫产情况,并分析因社会性因素致剖宫产的发生情况。结果:6135例孕妇中,剖宫产2296例,其中因社会性因素剖宫产711例,占剖宫产总数的31%,大专以上学历483例(68%),干部、知识分子501例(70%),医务人员及其亲属、朋友284例(40%)。社会性因素剖宫产孕妇产后大出血64例(9%),切口感染或脂肪液化24例(3%),术后2日内产妇乳汁分泌量少于阴道分娩651例(92%),切口痛或慢性腹痛76例(11%),新生儿窒息28例(4%),新生儿肺炎16例(2%)。结论:建议加强宣教工作,开展无痛阴道分娩,严格掌握剖宫产指征,降低社会性因素剖宫产术率。

Aim ：To analyze the related social factors of the increased rate of cesarean section and the effects on parturients and infants. Methods：A total of 2 296 cases of cesarean section out of 6 135 pregnants,and the influencing social factors were analyzed. Results：Social factors led to 711 cases, taking 31% of the total 2 296 cases of cesarean section. Among the 711 cases, 483 women received a technical college education（68% ） , 501 women were cadres and intellectuals （70%）, 284 women were medical staff or their relatives and friends （40%）. Sixty-four women suffered massive hemorrhage in the postpartum（9% ）, 24 women had incision infection or fat liquefaction （3%） ,651 cases had less secretory volume of breast milk two days after the cesarean section（92% ） compared with the cases of vaginal delivery, 76 women had pain in incisions or chronic abdominal pain （11%）, 28 newborns suffocated （4%）, and 16 newborns had pneumonia （2%）. Conclusion ：We should try to strengthen the propaganda and education work and develop the non-painful vagina childbirth. To follow the indication of cesarean section strictly to reduce the rate of cesarean section with social factors.