基层医院剖宫产98例临床分析

Clinical analysis of 98 cases of cesarean section in primary hospital

目的观察基层医院的剖宫产情况。方法回顾性分析98例剖宫产产妇的临床资料,分析其剖宫产指征,观察2017~2020年剖宫率变化情况。结果98例产妇的剖宫产指征为:产程异常8例(8.16%)、产道异常15例(15.31%)、胎儿因素29例(29.59%)、妊娠并发症9例(9.18%)、瘢痕子宫18例(18.37%)、高龄初产4例(4.08%)、社会因素15例(15.31%)。剖宫产率由2017年的41.67%上升至2020年的49.49%,呈现逐步上升的趋势,剖宫产率超过了县级医院的40%水平。结论基层医院剖宫产受多种因素影响,医院必须做好孕期宣讲,使产妇有正确的生育观,提高产科质量和管理水平,减少剖宫产的社会因素,减少不必要的剖宫产,提高新生儿质量以及产妇的恢复能力。

Objective To observe the cesarean section in primary hospital.Methods The clinical data of 98 women who had cesarean section was retrospectively analyzed,and their cesarean indications was analyzed.The changes in the cesarean section rate from 2017 to 2020 was observed.Results Indications for cesarean section in 98 women:abnormal labor in 8 cases(8.16%),abnormal birth canal in 15 cases(15.31%),fetal factors in 29 cases(29.59%),pregnancy complications in 9 cases(9.18%),scarred uterus in 18 cases(18.37%),advanced primigravida in 4 cases(4.08%),and social factors in 15 cases(15.31%).The cesarean section rate increased from 41.67%in 2017 to 49.49%in 2020,showing a gradual increase,and the cesarean section rate exceeded the 40%level of county-level hospitals.Conclusion Cesarean section in primary hospitals are influenced by a variety of factors,and hospitals must do a good job in propaganda during pregnancy,so that the puerpera can have a correct concept of fertility,improve the quality and management level of obstetrics,reduce the social factors of cesarean section and unnecessary cesarean deliveries,and improve the quality of the newborn as well as the recovery of the mother.