剖宫产率及剖宫产指征的变化分析

Analysis of Changes of Rates and Indication of Cesarean Section

目的探讨剖宫产率剖宫产指征的变化及对新生儿病死率的影响和剖宫产术式的改进。方法选择我院12年来剖宫产病例1798例,进行回顾性分析。结果剖宫产率逐年上升,在剖宫产指征中,头盆不称持续排在1、2位,胎儿宫内窘迫自1999年以后由首位而下降,社会因素逐年上升;新生儿病死率趋于稳定。结论合理掌握剖宫产指征,降低新生儿病死率,加强孕妇及家属对分娩过程的理解和配合,剖宫产率会明显下降。

Objective To analyze the relationship between the change of rate of cesarean section, indication of cesarean section, neonatal mortality and rate postpartum bleeding in the two phases. Methods The 1789 cases of cesarean section in hospital in the past twelve years were analyzed retrospectively. Results The rate of cesarean section has been increased year by year. In the indications of cesarean section ,cephalopelvic disproportion has been listed in the first or second. While fetal with respiratory distress has ranked down from the first place,social factors increased year by year,and mortality of fetus was becoming stable. Conclusions The indicaton of cesarean section should be grasped reasonably to decrease mortality of fetus. If we improved understanding and cooperation from pregnant women and their family in course of delivery, the rate of abdominal delivery should be clearly decreased.