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降低剖宫产率的干预措施探讨 被引量:6

The Intervening Measures on Reducing Caesarean Section Rate
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摘要 目的:探讨在保障医疗安全前提下,继续降低剖宫产率的对策。方法:回顾性分析2001—2013年天津市孕产妇保健系统中滨海新区塘沽五家助产机构的全部分娩数据。结果:2001—2008年间剖宫产率由40.09%上升至53.81%达峰值,呈现逐年增高的趋势。通过健康教育、控制孕期体质量增长、加强助产技术培训等降低剖宫产率措施干预,2008—2013年间剖宫产率呈现逐年降低的趋势,2013年剖宫产率下降至37.74%。2001—2008年间社会因素自剖宫产指征第6位逐渐升至第2位,瘢痕子宫升至剖宫产指征首位。结论:加强孕期健康教育及孕妇体质量管理,提高产科医生和助产士的实际操作技能,是降低剖宫产率的有效措施,未来开展剖宫产后阴道分娩是降低剖宫产率的主要干预措施。 Objective:Research continued measures to reduce the cesarean section rates under the premise of ensuring medical safety. Methods:Statistically analyzed all the delivery data from Maternal Health Care Management System of five midwifery organizations in Tanggu, Binhai New Area, Tianjin, from 2001 to 2013. Results:Cesarean section rate increased from40.09% in 2001 to 53.81%(peak rate) in 2008, which was an increasing trend year by year. Undergoing health care, control weight gain during pregnancy and good technique traning, cesarean section rate decreased to 37.74 % in 2013. Cesarean section rate decreased year by year between 2008-2013. Social factors ranked 6th in cesarean section indications, and gradually increased until 2008 ranked second, uterine scar ranked first in 2013. Conclusions:Processing pregnancy care and control weight gain, improving skills is the effective methods to decrease the rate of cesarean section. In the future, vaginal delivery after cesarean section will be effective prevention methods.
出处 《国际妇产科学杂志》 CAS 2015年第3期358-360,共3页 Journal of International Obstetrics and Gynecology
关键词 剖宫产术 早期干预(教育) 剖宫产后阴道分娩 剖宫产指征 Cesarean section Early intervention(education) Vaginal birth after cesarean Cesarean section indication
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