基层医院剖宫产率及剖宫产指征变化分析

Change of cesarean section rate and indication in basic level hospitals

目的:探讨剖宫产率升高的原因及对策。方法:选择1992～1994年与2006～2008年基层医院住院分娩产妇病例,回顾性分析剖宫产率及剖宫产指征的变化。结果:1992～1994年剖宫产率15.4%,2006～2008年剖宫产率51.2%。剖宫产指征中社会因素上升到首位。结论:基层医院剖宫产率升高迅速,农村地区孕妇及妇产科医师对剖宫产认识存有误区,应多渠道宣传自然分娩,正确掌握剖宫产指征,降低剖宫产率,保障母婴身心健康。

Objective：To investigate the changing tendency of cesarean section rate and indications,and to analyze the causes. Methods：The parturient cases in Aug. 1992 to Aug.1994 were compared with those in Aug.2006 to Aug 2008 in two basic level hospitals for analyzing the change of cesarean section rate and indication. Results：There was a significant difference （P〈0.01） between cesarean section rates from 1992 to 1994 （15.4%） and from 2006 to 2008 （51.2%）. The social factor became the first cause of cesarean section. Conclusion：In rural areas, the gravida and obstetrician have some mistake views to the cesarean section. Natural labor should be encouraged while the indication for cesarean section should be controlled to reduce the rate of cesarean section and promote health of mothers and babies.