摘要
目的探讨剖宫产率上升的社会因素及控制剖宫产率的措施。方法回顾性分析我院2000年1~12月401例剖宫产指征及相关因素。结果社会因素包括 :医学的发展、监护水平的提高、患者认识的偏差、怕产痛、产科的高风险、医生对剖宫产指征掌握不严等。结论普及妊娠分娩知识 ,正确认识剖宫产术的利弊 ,严格掌握剖宫产指征 ,转变产时服务模式 ,为自然分娩创造有利条件 ,有望降低社会因素为指征的剖宫产率。
Objective To analyze the social factors to elevate cesarean section rate (CSR)and inquire into measures of control CSR.Methods Cesarean section indications and relative causes of 401 cases from Jan.2000 to Dec.2000 were analyzed retrospectively.Results The social factor included medical scientific development, supervis elevel improvement, pregnanies had incorrect opinion to cesarean section, afraid of delivery pain,obstetric high risk, some doctors could not grasp the section indication strictly etc.Conclusion Popularize pregnancy and labour knowledge,recognize section advantages and disadvantages correctly,obstetrician might master the section indication correctly.Change the model of Obstetric service,make full preparation for veginal delivery.These measures suggest that the CSR with social factors can be reduced. Cesarean section Indication Social factor