剖宫产术后的安全性研究

Study on the Safety after Cesarean Section

目的比较剖宫产与自然分娩者产后两年内并发症和异常情况的发生情况，以评估剖宫产术后安全性。方法采用历史前瞻性流行病学方法。结果剖宫产后两年内切口痛、子宫活动度受限、慢性腹痛发生率分别为５．１％、９．６％、４．３％，贫血发生率为１１．１％，均高于自然分娩者，差异有统计学意义。结论为了保护妇女的身心健康，必须正确掌握剖宫产指征。

Objective In order to assess the safety after cesarean section, the complications and morbidity rate within 2 years after delivery between cesarean section and spontaneous delivery were compared. Methods A retrospective cohort study was used in this study. Results The prevalence of anemia, mobility restriction of uterus, chronic pelvic pain and wound ache during the 2 years postpartum in cesarean section group were 11.1%, 9.6%, 4.3% and 5.1% respectively, which were significantly higher than those in women with spontaneous delivery. Conclusion In order to protect women's health, the indications for cesarean section must be mastered strictly.