剖宫产率增高的社会因素浅析

Analysis on the Social Factors related to the Increasing Cesarean Section Rate

通过对２０年来剖宫产率变化进行回顾性分析，表明剖宫产率自８０年代以来逐步上升，提出社会因素起着重要作用。从孕产妇和医疗行为两方面阐述了社会因素对剖宫产率的影响，包括高龄初产妇、巨大儿及珍贵儿的增加．心理因素、医疗纠纷的影响，胎儿监护技术的应用等，并就如何减少社会因素的作用，使剖宫产率维持在合理的范围进行了讨论。

The change Autoncomous Regional in cesarean section rates (CSR) was analyzed retrospectively, which shows the CSR has risen over the last 20 years. Social foctors play an important role on it. It was analyzed how the social factors affect CSR on both maternal and medical practice, including the growing birth weight of newborn and advancet first pregnent maternal, the increasing of precious fetus, mental factor, malpractice claims and the use of fetal monitoring technology, etc. It is also disscussed how to reduce the effect of social fector to keep the CSR on 'optimal level'.