赣州市妇女儿童医院剖宫产率及剖宫产指征构成分析

Investigation on the Rate and Indication of Cesarean Section in Ganzhou Maternity and Child Care Hospital

目的通过分析剖宫产术指征构成,探讨提高分娩质量,降低剖宫产率的措施。方法分析2009年9月～2010年9月赣州市妇女儿童医院剖宫产率及指征构成。结果 2905例住院分娩的剖宫产率为46.66%;疤痕子宫、胎儿窘迫、社会因素、妊娠期高血压疾病、头盆不称、前置胎盘六种指征占81.13%。结论社会因素是宫产率上升的重要原因,严格掌握剖宫产指征是降低剖宫产率的重要措施。

Objective To summarize the rate and indication of cesarean section in this hospital from September 2009 to September 2010. Methods The clinical datas of the pregnant women with cesarean section in the past year were retrospectively studied. Results The rate of cesarean section was 46.66% in Ganzhou maternity and child care hospital in recent year. The major causes of cesarean section were scarred uterus, intrauterine asphyxia, social- psychological factors, hypertensive disorders in pregnancy, cephalopelvic disproportion and placenta praevia. Conclusions The major causes of increasing rate of cesarean section are social factors without any medical indication. So the key to reducing the cesarean section is to strictly abide by the medical indication to cesarean section.