摘要
目的 分析20年剖宫产率和指征变化,探讨剖宫产率升高原因。方法 抽样选择1980年～1999年20年我院剖宫产病例1579例,比较剖宫产率和手术指征变化。结果 80年代剖宫产率平均23.79％,90年代平均达41.15％,两者差异有显著性(P<0.01)。在剖宫产指证中,头盆不称、妊娠并发症逐渐下降,而胎儿宫内窘迫、高龄初产、巨大儿、社会因素逐渐上升。结论 提高医务人员对剖宫产的认识,加强孕产期保健及管理,改变产时服务模式,正确掌握剖宫产指征,有望控制剖宫产率。
Objective To investigate the reasons of the increasing cesarean section rate through changes of incidences and indications during the past two decades.Methods 1 579 cases of cesarean section (CS) were sampled during 1980 and 1999 to study the changes of incidences and indications.Results The average cesarean section rates was 23.79% in the 80s and 41.15% in the 90s, and there was significant difference. The changes in indications was a gradual decreasing in cephalo- pelvic disproportion, and pregnancy complications and a gradual increasing in fetus distress, elder primipara, macrosomia and social factors. Conclusions The high cesarean section rate should be controlled by changing the concepts on CS by both medical staff and women, strengthening prenatal care and management, handling indications of CS correctly and improving obstetric services.
出处
《中国妇产科临床杂志》
2001年第3期134-135,148,共3页
Chinese Journal of Clinical Obstetrics and Gynecology
关键词
剖宫产
发生率
指征
Cesarean section
Incidence rate
Indication.
