10年间剖宫产率变化与分析

Analysis of Changes of the Cesarean Section Rate

目的:探讨基层医院剖宫产率逐年增高的原因,综合分析其手术指征,采取干预措施,降低剖宫产率。方法:选择2000年1月至2009年12月在我院住院分娩的6 757例产妇,对其分娩方式及其剖宫产手术指征进行回顾性分析。结果:10年间剖宫产率逐年上升,由2000年的8.47%上升至2009年的42.37%,在剖宫产指征中,难产与胎儿宫内窘迫居首位原因,其次为社会因素和医源性因素。结论:加强孕期保健,加强产时产程监护,合理掌握剖宫产手术指征,是降低剖宫产率的重要措施。

Objective： To explore the reason why cesarean delivery in primary hospital increased year by year and to analyze the surgical indications comprehensively,so as to adopt measures of reducing the rate of cesarean delivery.Methods： A retrospective analysis of the delivery mode and the surgical indications of cesarean delivery among 6 757 cases from January 2000 to December 2009 was made.Results：The rate of cesarean delivery was rising year by year during 10 years,from 8.47% in 2000 to 42.37% in 2009.As for the indications cesarean delivery,the main reasons are the dystocia and the fetal distress;the secondary reasons are the social factors and the iatrogenic factors.Conclusion： The main measures to reduce the rate of cesarean section are enhancement of prenatal care and perilabor monitoring,and correct handling of indications for caesarian section.