提高阴道分娩安全性有效降低剖宫产率的应用探讨

Application of Improving the Safety of Vaginal Delivery to Reduce Caesarean Section Rates

剖宫产是临床上一种重要的手术助产方法 ,与产妇和胎儿的生命安全有着最为直接的关系,若病例选择得当,施求及时,则可以最大程度地保护母子安全,否则,不仅不能收到预期效果,而且还会造成不同程度的远期影响。上个世纪70年代,超声影像学和胎儿电子监护在临床上的应用,进一步扩大了剖宫产的指征,到20世纪80年代,剖宫产率上升到10%~15%,到了90年代,剖宫产仍旧不断上升,到目前为止,剖宫产率已经达30%以上。我国已经成为世界上剖宫产最高的国家,为此,这种非正常现象引起了社会各界的高度关注。因此,提高阴道分娩安全性有效降低剖宫产率就成为临床探讨的关键问题。

Cesarean section is a major surgery clinical midwifery methods, and maternal and fetal safety of life have the most direct relationship, if proper patient selection, Shi seeking timely, you can maximize the protection of mother and child safe, otherwise, not only can not the expected results, but it can also cause long-term effects to some extent. 70 s of last century, ultrasound imaging and electronic fetal monitoring in clinical practice, and to further expand the indication for cesarean section, to the 1980 s, cesarean section rate rose to 10%-15%, to 90 years cesarean section is still rising, so far, the cesarean section rate has reached more than 30%. China has become the world＇s highest caesarean section on end, this abnormal phenomenon has aroused great concern in the community. Therefore, improving the safety of vaginal delivery to reduce the cesarean section rate has become the key issue of Clinical Research.