摘要
目的总结近10多年来剖宫产率及剖宫产指征的变化,研究降低剖宫产率的措施。方法对本院13年来产科住院产妇的足月分娩病例进行回顾性分析。结果(1)剖宫产率呈逐年升高。(2)1998年前剖宫产指征主要为难产,1999至2002年胎窘渐升高,2000年后社会因素明显升高,跃居首位。(3)新生儿病死率未随剖宫产率上升逐步下降。结论剖宫产率升高主要原因为无医学指征的社会因素增加。"胎窘"和"头盆不称"诊断过度也是剖宫产术增多的重要因素,来自孕妇及医生的主观意愿,影响对分娩方式的合理选择。降低剖宫产率的关键是严格掌握剖宫产指征,尽量减少人为因素的剖宫产。
Objective To make a retrospective study on the change of the rate and indications of uterine - incision delivery in the past 13 years and to explore the measures to lower the rate of and uterine - incision delivery . Methods A retrospective study was made on the term labor cases in obstetrics of our hospital within the last 13 years Results ①Tbe rate of uterine - incision delivery increased every year , ②Before 1998, the indication of uterine - incision delivery was difficult labor ,from 1999 to 2002 , the incidence of the fetal distress increased ,while from 2000 ,the social factors influenced more and more and became the leading factor for uterine - incision delivery . ③the neonatal mortality rate didn＇t decrease as the rate of uterine - incision delivery increased . Conclusions The main reason for the increase of the rate of uterine - incision delivery is the social factors which has nothing to do with the medical indication . Excessive diagnosis of fetal distress ,cephalopelvic disproportion and increase of uterine- incision delivery operations are important factors too , which come from the will of the pregnant women and the doctors preventing from the right choice of ways of delivery . The key to lower uterine - incision delivery is to be strict with the indications and to devoid the uterine - incision delivery out of anthropic factors.
出处
《浙江临床医学》
2007年第7期877-878,共2页
Zhejiang Clinical Medical Journal
关键词
剖宫产率
手术指征
相关因素
uterine- incision delivery rate operation indication correlation factor
