剖宫产率的变迁与产后出血的关系

An analysis on the relationship between change of cesarean section rates and postpartum hemorrhage

目的 :探讨剖宫产率的上升对产后出血的影响。 方法 :对 1995年 1月～ 1998年 12月在我院分娩的 630 8例产妇进行回顾性分析。统计分析剖宫产率的变迁和产后出血的关系 ,以及不同分娩方式对产后出血的影响 ,分析造成产后出血的原因。结果 :剖宫产率和产后出血率均呈逐年上升的趋势 ,在不同分娩方式中 ,产后出血的发生率以剖宫产组最高。 结论 :严格掌握剖宫产指征 。

Objective: To investigate the influence of increasing cesarean section rate on postpartum hemorrhage. Methods: Women delivered in obstetric department in our hospital from January 1995 to December 1998 were retrospectively analyzed. Analyzing the relationship between change of cesarean section rates and postpartum hemorrhage, investigating the influence of different delivered patterns on postpartum hemorrhage, and searching the cause of postpartum hemorrhage were carried out. Result: Cesarean section rates and postpartum hemorrhage rates were increasing year by year. The rate of the postpartum hemorrhage was the highest in the group of cesarean section. Conclusion: The indications for cesarean section must be strictly controlled. It is a very important step to decrease the selected cesarean section for reducing postpartum hemorrhage.