5年间剖宫产率及剖宫产指征变化分析

Analysis on the change of cesarean section rate and cesarean section indication in the past 5 years

目的分析本院近5年以来,剖宫产率和各种原因实施剖宫产手术指征的变化,寻求降低剖宫产率的对策。方法自2013年至2017年间,在本院产科住院分娩的产妇有11466例,对其病例进行回顾性分析。结果从2013年至2017年剖宫产率呈逐年上升的趋势,在剖宫产指征中,瘢痕子宫始终处于第一位,社会因素位于第二位,胎儿窘迫为第三位,巨大儿为第四位。结论本资料显示,瘢痕子宫妊娠的孕产妇增加是近年来导致剖宫产率上升的主要原因。因此,降低剖宫产率,需合理掌握剖宫产指征,尤其是初产妇的剖宫产指征。

Objective To analyze the changes of cesarean section rate and various reasons of cesarean section in the last ffve years, explore the countermeasures to reduce cesarean section rate. Methods From 2013 to 2017, 11466 parturients were given birth in obstetrics and obstetrics, and the cases were analyzed retrospectively. Results The cesarean section rate has an upward tendency year by year, in the cesarean section indication, scar uterus always located at the first place, social factor located at the second place, fetal distress was the third and macrosomia was the fourth. Conclusion This data shows that the increase of pregnant women with scar pregnancy is the main reason for the increase of cesarean section rate in recent years. Therefore, to reduce the rate of caesarean section, it is necessary to grasp the indication of cesarean section, especially the indication of cesarean section of the primipara.