80后产妇799例剖宫产的原因分析

Analysis on causes of cesarean section in the parturients born after 1980s

目的探讨分析80后剖宫产的原因，正确掌握剖宫产指征，确保母婴安全。方法回顾性分析2004-01～2008．12在我院分娩及剖宫产原因构成。结果5年间分娩总数5232例，剖宫产1200例（22．9％），自然分娩4032例（77．1％），剖宫产率呈逐年升高趋势（P〈0．01）。80后住院分娩产妇1300例，剖宫产799例（61．5％），自然分娩501例（38．5％），5年间80后和非80后的剖宫产率均呈逐年升高趋势（P均〈0．05），80后均维持在较高水平（55．6％～68．5％，平均61．5％），各年度80后剖宫产率显著高于非80后剖宫产率（P均〈0．01）。80后剖宫产三大原因中，社会因素居首位（436例，54．6％），其次为胎儿因素（264例，33．0％），母亲因素居三（99例，12．4％）。结论剖宫产率升高主要是社会因素所致，降低剖宫产率除了医师严格掌握剖宫产指征外，全社会都应关注剖宫产率逐年升高这一问题。

Objective To study the causes of cesarean section in the parturient born after 1980s,in order to master the indications of cesarean section correctly and ensure the safety of mathers and babies. Methods The compositions of causes of cesaren section in hospital delivery parturients in our hospital from Janurary 2004 to December 2008 were analyzed retrospectively. Results The total number of deliveries in the five years was 5 232 cases,included 1 200 cases（22. 9% ） underwent cesarean section and 4 032 cases （77. 1% ） adopted natural delivery. The cesarean section rate increased progressively during the five years （ P 〈 0. 01 ）. The number of hospital deliveries in parturients born after 1980s was 1 300 cases, included 799 cases （61.5%） underwent cesarean section and 501 cases （38. 50% ） adopted natural delivery. The cesarean section rates in the parturients born after 1980s and parturients not born after 1980s increased progressively （ all P 〈 0. 05 ）. The cesarean section rates in parturients born after 1980s were maitained at a relatively high level （55.6% - 68.5% ;mean 61.5% ）. The cesarean section rates of each year during the five years in parturients born after 1980s were highter than those in parturients not born after 1980s （ all P 〈 0. 01 ）. In the first three causes of cesarean section in parturients born after 1980s, the social factors was the first place （436 cases ,54. 6% ） ;the causes related to fetus was the second place （264 cases, 33.0% ） ; the maternal factors was the third place （99 cases, 12. 4% ）. Conclusion Cesarean section rate increased mainly due to social factors. In order to reduce the cesarean section rate, in addition to physicians strictly master the indications of cesarean section ,the whole society should be concerned about the problem of cesarean section increased year by year.