4129例分娩现状分析

4129 Analysis of Maternal Birth

目的了解我院2009年上半年分娩产妇的分娩史及分娩方式。方法将4129名产妇分成初产妇、阴道分娩史经产妇及前次剖宫产史经产妇三组,比较其分娩方式、剖宫产率及剖宫产指征构成比。结果分娩产妇中以初产妇比例最高,占60.50%;前次剖宫产史经产妇组剖宫产率最高为97.77%,初产妇组次之为53.20%,阴道分娩史经产妇组为26.20%,差异有统计学意义。总的剖宫产率为49%。三组剖宫产指征构成中比例最高的均为知情选择。结论合理掌握剖宫产指征,降低剖宫产率,必须要有医务人员及全社会的参与。

Objective Know my hospital birth in 2009 in the first half of maternal birth history and mode of delivery. Methods The 4129 mothers were divided into 3 groups：early maternal history of vaginal birth after previous cesarean section maternal and history through the maternal,to compare their mode of delivery,cesarean section rates and indications for cesarean section component ratio. Results The history of previous cesarean section cesarean section rate by maternal group the highest,reaching 97.77% ;of primipara group followed by 53.20%;The history of vaginal delivery after maternal group , 26.20% , three statistically significant differences between groups,the overall caesarean yield was 49%. Indications for cesarean section in each group constitutes the highest proportion of both informed choice. Conclusion Conclusion rational management of cesarean section,lower cesarean section rate,there must be medical personnel and the participation of society as a whole.