产妇入院时是否临产对剖宫产率影响的临床分析

Effect of early admission in labor on the rate of cesarean delivery

目的观察产妇入院时是否临产对剖宫产率的影响并分析原因。方法回顾分析在我院产科住院的足月分娩初产妇932例资料。依据入院时是否临产分为临产组(516例)和待产组(416例)。对两组进行常规监测和相应的医疗干预。比较两组产妇的剖宫产率及剖宫产指征。结果待产组剖宫产率明显高于临产组(P<0.05)。影响剖宫产率的主要指征是无指征的产妇要求和胎儿宫内窘迫。结论产妇临产时入院有利于降低剖宫产率。

Objective To investigate the effect of the timing of admission in labor ward on the cesarean section rate and to analyze its reason.Methods A total of 932 low risk primigravidae in labor spontaneously were analyzed retrospectively according the signs of labor as false labor group（n=416） and true labor group（n=516）.The true labor group and the false labor group were routinely monitored and handled with corresponding medical intervention.The rate and indications of cesarean section in the two groups were compared.Results The rate of cesarean section of the false labor group was significantly higher than that of the true labor group（P〈0.05）.The main indications of cesarean section were maternal request and fetal distress.Conclusion Maternity hospital admission in labor is helpful to reduce the cesarean section rate.