安庆市10年间剖宫产指征变化及剖宫产率分析

Rising trends in caesarean section rate and cesarean section indications:10-year analysis in Anqing

目的:探讨10年间剖宫产率及剖宫产指征变化。方法:对安庆市三家二甲以上医院2001年1月1日～2010年12月31日住院产妇足月分娩的临床资料进行回顾性分析。结果:①前5年平均剖宫产率为59.40%,后5年平均剖宫产率为71.38%,趋势χ2=382.431,P<0.01,剖宫产率呈上升趋势;②社会因素在剖宫产指征比例中最低占28.23%,最高达46.93%而成为主要因素。结论:社会因素是剖宫产率增加的主要因素,应合理掌握剖宫产指征,尽量减少因社会因素而行剖宫产术。

Objective：To investigate the changing trends in cesarean section rate and cesarean section indications in the latest 10 years in Anqing city, Anhui, China. Methods ： The clinical data were retrospectively examined in full-term delivery puerperae from three hospitals of grade II level A or above in Anqing city between January 1,2001 and December 31,2010. Results ：The cesarean section rate tended to increase from the first five years （ 59.40% ） to the second haft 10 years （ 71.38 % ） （ X2 = 382.431, P 〈 0.01 ）. Of the factors and decision-making aspects for cesarean deliv- ery,social ones varied from undermost 28.23% to maximal 46.93%. Conclusion ： Social factors looks to outweigh cesarean section indications, and this trends shall be managed properly by obstetricians through stringent practice in compliance with clinical guidelines.