浅谈剖宫产率增高的原因及对策

A brief study on status and reason of caesarean section and its effect

20世纪80年代之前剖宫产是解决难产及解决某些高危妊娠的有效方法.随着麻醉,削宫产及新生儿抢救技术的提高,剖宫产率逐年增高.原因很多,主要原因有社会因素,其次是诊疗技术的提高以及阴道助产技术的减少等,削官产术后的并发症较多,产妇死亡率较阴道分娩高,希望临床产科医生正确掌握削宫产的手术指征,提高阴道助产技术,降低剖宫产率,提高产科质量.

Objective To study the status and reason of caesarean section and its effect to obstetrics and gynecology department. Methods Caesarean section was the effective method to solve dystocia and some high risk pregnancy before 1980s. With the improving of anesthesia,caesarean section and newborn rescue technology, the cesarean rate was increased year after year. Results There were many reasons, the main one was the social factors, secondly, the diagnostic technique was improved and the reducing application of the vagina deliver technique, etc. ,There were man y complications after caesarean section, and the maternal mortality was higher than that of vaginal spontaneous labour. Conclusion Doctors are expected to correctly master the operative indication for caesare an section, increase vagina deliver technique, reduce cesarean section rate and improve obstetric quality.