剖宫产指征动态变化及分析

Dynamic changes and analysis of cesarean section indication

目的:探讨剖宫产指征的构成比、变化及影响因素,以正确掌握剖宫产指征,提高产科质量。方法:对本院2008年至2012年的4 364例分娩资料进行回顾分析。结果:剖宫产率居高不下,阴道助产率逐年下降;在剖宫产指征中,社会因素、瘢痕子宫、巨大儿、羊水过少剖宫产率上升,胎儿窘迫、产程异常剖宫产率下降。结论:剖宫产率居高为多因素综合作用的结果,需多角度着手才能实现控制剖宫产率,达到提高产科质量的目的。

Objective： To explore the constituent ratio changes and influencing factors, the indications for cesarean section to correctly grasp of cesarean section indication, and to improve the quality of obstetrics. Methods： Retrospective analysis of 4 364 cases of birth data from 2008 to 2012 in the hospital was done. Results： The high rate of cesarean section, vaginal birth rate were declining; indications for cesarean section, social factors, uterine scar, great children, oligohydramnios were rising; cesarean section rate, fetal distress, abnormal labor cesarean section rate were declined. Conclusion： Cesarean section rate is high as a result of multiple factors, needing multiple perspectives to proceed in order to control the rate of cesarean section to achieve the purpose of improving the quality of obstetrics.