近5年剖宫产率与剖宫产指征的回顾性分析

Retrospective Analysis of Cesarean Delivery Rate and Cesarean Section Indications in Recent 5 Years

目的分析近年剖宫产率及剖宫产指征变化,探讨降低剖宫产率的主要措施。方法回顾性分析本院2008～2012年的剖宫产率及剖宫产指征变化。结果近5年剖宫产率38.6%～41.2%。剖宫产指征中胎儿因素缓慢增加,居影响因素第1位;头盆因素逐年下降,但仍居第2位;母亲因素呈缓慢下降趋势;社会因素呈逐年上升趋势,其中以珍贵儿指征增加显著。结论降低剖宫产率的关键在于严格控制剖宫产指征,降低社会因素影响。

Objective To analyze the changes of cesarean delivery rates and cesarean section indications in recent five years and discuss the main measures of reducing cesarean section rate. Methods Retrospective method was adopted to analyze cesarean delivery rate and changes of cesarean section indications in this hospital between 2008 and 2012. Results In the last five years,the cesarean delivery rate was varied from 38.6% to 41.2%. Fetal factorincreased slowly and became the first one among the cesarean section indications. Cephalopelvic factor declined year by year,but still was inthe second place. Mother factors showed a trend of slow decline. There was an upward trend of social factors and precious fetus indications increased significantly. Conclusion The keys to reduce the rate of cesarean delivery rate ares to strictly control the cesarean section indications and reduce social factors.