剖宫产率增高的因素及降低剖宫产率的临床措施探讨

Discussion of the causes of increase of cesarean section rate and the clinical measures to reduce cesarean section rate

目的:通过分析剖宫产率增高的因素来探寻降低剖宫产率的临床措施。方法:选取2009年收治的2 336例待产孕妇,对1 428例剖宫产患者的临床资料进行回顾性分析。结果:足月儿剖宫产率为61.1%,其中剖宫产史及臀先露的剖宫产率为95.4%。造成剖宫产的主要原因是胎儿窘迫、羊水过少、剖宫产史、臀先露、重度妊娠并发症及巨大儿、珍贵儿等。结论:剖宫产率上升与诸多因素有关,提高医护人员的专业知识水平、加强产前检查、产时观察,通过医患双方及全社会共同努力,合理掌握剖宫产指征,才能有效地降低剖宫产率。

Objective：To explore the clinical measures to reduce cesarean section rate by analyzing the causes of increase of cesarean section rate. Methods：A total of 2 336 pregnant women who were treated in the hospital in 2009 were selected,the clinical data of 1 428 pregnant women undergoing cesarean section were analyzed retrospectively. Results：The cesarean section rate among term infants was 61.1%,and 95.4% of the cases had the history of cesarean section and breech presentation.The main causes of cesarean section included fetal distress,oligohydramnion,history of cesarean section,breech presentation,severe pregnancy complications,macrosomia,and precious fetuses. Conclusion：The increase of cesarean section rate is correlated with many factors,improving the level of professional knowledge,strengthening prenatal examination and intrapartum observation,grasping the reasonable indications of cesarean section may reduce the cesarean section rate with the efforts from doctors,patients,and the whole society.