某院剖宫产率高居不降原因及剖宫产指征分析

Causes of high cesarean section rate in Jingxian County TCM Hospital 2008-2012 and indications analysis

目的通过对剖宫产指征分析,了解剖宫产的主要原因,探讨降低剖宫产率的措施。方法对某院2008年1月-2012年12月产科住院剖宫产病例进行分析。结果 (1)剖宫产率逐渐增长,2008-2012年剖宫产率分别为58.31%(793/1360)、60.42%(884/1463)、59.64%(755/1266)、68.61%(953/1389)、66.85(1184/1771),2012年与2008年比较,差异有统计学意义(P<0.05)。(2)主要剖宫产指征:社会因素高居不下,妊娠合并症和疤痕子宫所占比例呈逐年上升趋势。2012年与2008年比较,差异有统计学意义(P<0.05)。结论剖宫产率高居不下的原因有社会因素也有医疗因素,降低剖宫产率,保障母儿健康,需要全社会积极努力、共同参与,以期达到预期目标。

Objective To analyze the cesarean section indications ,understand the main causes and explore counter meas-ures to reduce cesarean section rate .Methods Cases of cesarean section in our hospital from January 2008 to December 2012 were analyzed.Results （1）Cesarean section rate was increasing year by year .2008-2012 saw the increasing cesarean section rate as 58.31%（793/1360）,60.42%（884/1463）,59.64 （755/1266）,68.61%（953/1389）,and 66.85（1184/1771）, respectively.The difference between 2012 and 2008 was statistically significant（P＆lt;0.05）.（2）Primary cesarean section indi-cations：Social factors played a dominant role .The pregnancy complications and proportion of scar uterus made a rising trend of the period.Compared with 2008,the difference in 2012 was statistically significant（P＆lt;0.05）.Conclusion The reasons for high cesarean section rate have included both social and medical factors .Social efforts and involvement are sure guarantees to reduce cesarean section rate and ensure maternal and fetal health .