8年剖宫产率及剖宫产指征分析

Analysis of the rate and indications of cesarean section in recent eight years

目的：分析近8年剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的临床措施。方法：对2000-2007年来10 377例分娩孕妇的临床资料进行回顾性分析,比较剖宫产率和剖宫产手术指征变化。结果：剖宫产率逐年升高,2000年为29.4%,2007年升至60.1%。剖宫产主要指征为社会因素、胎儿窘迫、难产、妊娠并发症,其中社会因素上升最快。结论：降低剖宫产率的关键是严格掌握剖宫产指征,积极处理难产,减少因社会因素而行的剖宫产。

Objective：To analyze the change in cesarean rate and indications from 2000 to 2007,and to investigate measures of decreasing the rate of cesarean section.Methods：Retrospective analysis of the data of 10 377 cases of pregnant women in the recent 8 years was carried out to compare the changes in cesarean rate and surgical indications.Results：The rate of cesarean has been increasing year by year.It was 29.4% in 2000 and 60.1% in 2007.The indications were social factors,fetal distress,pregnancy complications and dystocia.Among them,social factors increased the most.Conclusions：The key to lowering the rate of cesarean section is to grasp the medical indication strictly and manage clinical dystocia actively,as well as decreasing the cesarean of social factors.