兴安县5年10643例剖宫产情况分析及对策

10 643 Cases of Cesarean Delivery Situation Analysis and Countermeasures in 5 Years in Xing'an County

目的:分析2010-2014年兴安县剖宫产率及剖宫产指征变化趋势,找出兴安县剖宫产率居高不下的原因,提出降低剖宫产率的干预措施。方法:回顾性调查2010-2014年5年兴安县4家医疗保健机构10 643例剖宫产产妇的临床资料,对剖宫产率及剖宫产指征的变化趋势进行分析。结果:2010-2014年兴安县剖宫产率呈上升趋势,非医学指征剖宫产是增高的主要原因,占剖宫产的12.80%。结论:在行政监管考核同时,应加强医院管理,提倡医德,提高产科质量,严格把握剖宫产手术指征,增加产科人员配备,有效的孕期保健和健康教育,孕妇改变认识,降低剖宫产率。

Objective： To analyze the cesarean delivery rate of Xing＇an county in 2010-2014 and cesarean section indications trerids, finding out the cause of the high county cesarean section rate, reducing cesarean section rate of intervention measures are put forward.Method： A retrospective survey of five years from 2010 to 2014 the county, four medical and health institutions of the clinical data of 10 643 cases of cesarean section maternal, and the change trend of cesarean section indications for cesarean section rate were analyzed.Result： In 2010-2014, Xing＇an county cesarean delivery rate was on the rise, the higher medical indications of cesarean section was the main reason, accounted for 12.80% of cesarean delivery.Conclusion： At the same time of the assessment Of administrative supervision, to strengthen hospital management, advocating medical ethics, improving the obstetric quality, increase the obstetric staffing, effective healthy education of pregnant women, pregnant women to change, to take a systems engineering, and reduce the rate of cesarean delivery.