近14年我院剖宫产率及其指征变化的探讨

The study on rate the changes of cesarean section cmd indication in recent 14 years

目的:探讨剖宫产率增高的原因及降低剖宫产率的关键。方法:回顾性分析我院近14年剖宫产率及其指征变化。结果:1992～1996年剖宫产率基本稳定,平均26.013%,1997年剖宫产率超过30%,2002年达57.12%,2004年后控制"社会因素",剖宫产率有所下降为54.71%,2006年降为49.74%。结论:"社会因素"和"过度诊断"是导致剖宫产率升高的重要因素;加强孕期宣传和严格掌握剖宫产指征,是降低剖宫产率的关键。

Objective： To discuss the cause for the increase in the rate of caesarean sections and the key for its reduction. Methods： Retrospectively determine the changes in the rate and indications of Caesarean sections in the past fourteen years in our hospital. Results： Between 1992 and 1996, the rate of Caesarean sections was relatively stable, averaging 26.013%. It rose above 30% in 1997, and increased to 57.12% in 2002. Post 2004, ＂societal factors＂ were controlled, and the incidence decreased to 54.71%, and to 49.74% in 2006. Conclusion：＂Societal factors＂ and ＂over diagnosis＂ are important contributors to the rise in the rate of Caesarean sections. Reinforcing ＂pregnancy education＂ and our understanding of their indications are key for reducing the rate of Caesarean sections.