某二级甲等医院剖宫产率调查与分析

The Investigation and Analysis of Cesarean Section Rates in an Upper Second-Class Hospital

目的评估剖宫产率的趋势,发现剖宫产率居高不下原因及解决措施。方法根据某院2009年1月—2013年12月助产技术年度服务报表,按照自然分娩数、剖宫产数等进行统计分析。对该院2014年1-3月入院在没有临床指征前提条件下选择剖宫产分娩的49名产妇,采用自行设计的调查问卷进行问卷调查。结果该院5年的剖宫产率均超过全国平均水平,平均值达到71.40%,且无指征剖宫产比例逐年增高。产妇中因为＂害怕分娩疼痛＂而选择剖宫产的占89.80%,＂选好日期＂这一社会因素也不容忽视。结论作为二级医院,医院应在尽可能的条件下提高医护人员业务水平,解决因技术原因造成的剖宫产率增高,但降低剖宫产率不单单是一个医疗问题,还是一个社会性问题,需要全社会的共同努力。

Objective Aim To assess the trend in caesarean section rate, and find the causes and solutions to the high rate of cesarean section.Methods According to the annual reports of midwifery services from 2009 to 2013, the numbers of natural childbirth, caesarean section and others were analyzed to assess variations in caesarean sections. Forty-nine parturient women that se- lect cesarean delivery without clinical indications in the upper second-class hospital during the period of January-March 2014 are investigated by using self-designed questionnaire.Results The caesarean section rates of five years in this hospital are all higher than the national average. Its average caesarean section rate reaches to 71.40%, and the proportion of caesarean section without medical indications increases year by year. Among parturient women, the proportion of caesarean section for fear of labor pain is 89.80%, and lucky day selection cannot be ignored as a social factor for caesarean section.Conclusion To an upper second-class hospital, the hospital should improve the level of health care services in all possible conditions, and restrain the increasing of cesarean section rate from technical aspects. However, the reduction of cesarean section rate is not just a medical problem, but also a social problem, and it requires joint efforts of the whole society.