某三甲医院剖宫产率调查与分析

Survey and Analysis at Cesarean Delivery Rate in a Hospital of Class A,Grade Three

目的寻找某三甲医院产科剖宫产率居高不下的原因及解决措施。方法采用现场调查与回顾性研究相结合的方法,对医院2013年6月份出院的216例产妇的病历进行调查,并对其中20名产妇在分娩前进行了问卷调查,最后用SPSS17.0统计软件对所获得的资料进行了描述性统计分析。结果 6月份医院216例产妇剖宫产分娩率为83.80%,平均分娩费用为7 894.78元。妊娠合并症及并发症和社会因素是剖宫产率高的主要原因。结论部分三甲医院剖宫产率高有客观因素存在,降低剖宫产率需要卫生行政部门、社会和医疗机构的共同努力。

Objective：To find the reasons and countermeasures for the high rate of cesarean delivery in a hospital of Class A,Grade Three. Method：The authors made the survey on medical records of 216 puerpera women discharged in June,2013 with questionnaires designed by the study group, combining with field investigation and retrospective study, and 20 of the puerperal women were given questionnaire survey before delivery. Then SPSS17. 0 software was used for the de- scriptive analysis at the data obtained. Result： In June, the rate of cesarean delivery of the 216 puerpera women was 83.8%, and the average delivery cost was 7894.78 yuan. The average pregnancy complications and social factors were the main reasons for high cesarean delivery rate. Conclusion： There are some objective factors for the high rate of cesarean de- livery in hospitals of Class A, Grade Three. Health administrative departments, society and medical institutions should make joint efforts to reduce the rate of cesarean delivery.