巩义市2012～2013年剖宫产率及影响因素分析

Analysis on cesarean section rate and influencing factors in Gongyi city from 2012 to2013

目的：探讨全人群剖宫产率升高的影响因素。方法：对2012年1月-2013年9月巩义市17所有分娩资质医院的分娩登记资料进行回顾性分析。结果：①各种类型医院剖宫产率不同，其中民营医院为54．22％，社区中心为43．90％，差异有统计学意义（P〈0．01），应引起重视。②新生儿性别对剖宫产率也具有显著影响，男婴为51．28％，女婴为47．04％，差异有统计学意义（P〈0．01）。③〈20岁的产妇剖宫产率为34．98％，20～34岁产妇为48．79％，〉34岁产妇为57．77％，随年龄递增呈明显阶梯式增长，差异有统计学意义（P〈0．01）。结论：医院类型、婴儿性别、不同年龄等因素都可对剖宫产率的增长具有明显的干预作用。

Objective： To explore the influencing factors of increase of cesarean section rate in population. Methods： The data of delivery in 17 hospitals with delivery qualification in Gongyi city from January 2012 to September 2013 were analyzed retrospectively. Re- suits： Cesarean section rates varied in different types of hospital, there was statistically significant difference between private hospitals （54. 22% ） and community centers （43.90%） （P 〈0. 01 ）, more attention should be paid to; neonatal gender had significant impact on ce- sarean section, the proportions of boys and girls were 51.28% and 47.04% , respectively, there was statistically significant difference （P 〈 0. 01 ） ; the cesarean section rates in women aged 〈20, 20 -34, and 〉34 years old were 34. 98%, 48. 79%, and 57. 77%, respectively, which increased with age, there was statistically significant difference （P 〈 0. 01 ） . Conclusion： Hospital type, infantile gender, and age have obvious interventional effect on increase of cesarean section rate.