我院近五年剖宫产率及剖宫产指征分析

Cesarean Section in Our Hospital in Recent Five Years and Its Indications

目的分析2005—2009年我院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2005—2009年我院20981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的变化。结果剖宫产率有增加趋势,2005年为59.63%,2009年为66.98%。剖宫产主要指征依所占比率的由高到低依次为社会因素、胎儿窘迫、难产、妊娠并发症等,而且社会因素上升最快。结论由于各种因素导致剖宫产指征掌握较宽松,剖宫产率有上升的趋势。因此,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 application of Cesarean section and its indications.Methods A total of 20 981 pregnant women underwent delivery in our hospital from 2005 to 2009.The rate of Cesarean section and its indications were retrospectively analyzed.Results The rate of Cesarean section has increased from 59.63% in 2005 to 66.98% in 2009.The main indications of Cesarean section were social factors,fetal distress,pregnancy-associated complications,and dystocia,among which the social factors has became increasingly important.Conclusion The rate of Cesarean section has increased rapidly in recent years.The indications of Cesarean section should be strictly applied to lower the Cesarean section performed due to social factors.