10年经产妇剖宫产指征变化及相关因素分析

An analysis of the factors contributing to cesarean section during the period from year 2002 to 2011

目的探讨第一胎顺产的经产妇剖宫产指征变化,分析剖宫产原因,针对性地提出措施倡导自然分娩。方法回顾分析本院1470例第一胎顺产、再次分娩应用剖宫产经产妇的临床资料,统计剖宫产原因,分析剖宫产指征变化情况。结果 2002年至2012年的剖宫产率每年呈上升趋势(P<0.05);2002年—2007年剖宫产指征居首位的均为头盆不称,2008年至2011年剖宫产指征居首位的为社会因素。结论剖宫产率逐年上升,社会因素成为主要剖宫产指征。

Objective To investigate the factors contributing to cesarean section and, analyze the reasons for cesarean section, and to find measures to promote natural delivery. Method The data collected with questionnaires of the pregnant women admitted to the ward were analyzed with a focus on the change of the factors that contribute to cesarean section. Findings From year 2002 to 2012, the rate of cesarean section kept rising year by year. The difference was significant （ P 〈 O. 05）. The main factor necessitating cesarean section 2002 - 2007 was head of disproportion. Social factor gradually became the import consideration for cesarean section. It became the main factor from 2008 to 2011. Conclusion The findings suggests that the rate of cesarean section keeps increasing year by year over the past 10 years. Social factor has become the main factor for cesarean section.