影响剖宫产率与剖宫产指征的因素分析

Analysis of the Factors Affecting the Cesarean Section Rate and Cesarean Section Indication

目的剖析近年来剖宫产率居高不下的主要影响因素,为制定降低剖宫产的具体措施提供资料。方法对2006～2008年本院足月分娩病例进行回顾性分析。结果①剖宫产率呈逐年上升趋势,而产钳率呈逐年下降趋势;②剖宫产占难产分娩的比例逐年增高,同期产钳助产占难产分娩的比例逐年下降;③2006年至2008年居于前四位的剖宫产手术指征是:要求手术、巨大儿、难产、胎儿窘迫。结论剖宫产率升高主要原因为无医学指征的社会因素增加。来自孕妇及医生的主观意愿,影响对分娩方式的合理选择。降低剖宫产率的关键是严格掌握剖宫产指征,尽量减少人为因素的剖宫产。

Objective To provide data for determining means to reduce cesarean section rate. Methods We retrospectively studied the cases of mature delivery from 2006 to 2008 in our hospital. Results （1）The results suggested that CSR rose while forceps delivery rate dropped year by year. （2）The ratio of cesarean section birth to dystoeia delivery increased year after year,while that of forceps delivery to dystoeia delivery decreased. （3）The major indications of cesarean section from 2006 to 2008 had nothing to do with the medical indication large for date infant,dystocia,fetal distress. Conclusion The main reason for the increase of the rate of uterineincision delivery is the social factors which has nothing to do with the medical indication. Which come from the will of the pregnant women and the doctors preventing from the right choice of ways of delivery. The to lower uterine-incision delivery is to be strict with the indications and to devoid the uterine-incision delivery out of an- thropic factors.