摘要
目的分析经产妇剖宫产率升高的原因及手术指征，总结临床经验。方法对西安市红十字会医院2002年12月～2007年12月在产科住院分娩的经产妇剖宫产628例进行手术指征的统计分析。结果628例剖宫产产妇占同期经产妇分娩总数的30．0％，其手术指征以胎儿窘迫占首位（35．0％）；其次为巨大儿，占15．0％；再次为妊娠并发症及合并症，占12．3％。相隔10年以上再次分娩的经产妇较相隔10年以内再次分娩者更易发生相对性头盆不称，经比较有显著性差异，χ^2=4．63，P〈0．05。结论胎儿窘迫是经产妇剖宫产的主要原因，及时手术是避免围产儿预后不良的重要措施；因巨大儿行剖宫产者居其次，因此，对分娩方式应给予个体化考虑；相隔10年以上再次分娩的经产妇剖宫产率较高，更易因相对头盆不称而行剖宫产终止妊娠。
Objective To analyze causes and operation indications of cesarean section for multiparae. Methods The operation indications of 628 cases of cesarean section for multiparae who delivered the second babies in Department of Gynecology, Xi＇ an Red Cross Hospital from December 2002 to December 2007 were analyzed. Results The multiparae who delivered by cesarean section accounted for 30.0% of all multiparae who delivered in same period, and the first cause of cesarean section was fetal distress （35.0%）, the second one was macrosomia （ 15.0% ） and others were complications of pregnancy （ 12.3% ）. The incidence of relative cephalopelvic disproportion among those multiparae who delivered the second babies 10 years later was much higher than those multiparae who delivered the second babies within 10 years interval and the difference was significant （χ^2 = 4.63, P 〈 0.05 ）. Conclusion Fetal distress is major cause of cesarean section of multiparae, and timely operation is an important measure to avoid perinatal adverse outcomes. The next cause of cesarean section is macrosomia, delivery pattern should be individualized. The cesarean section rate among those women who delivered the second babies 10 years later is much high, they are prone to receive cesarean section due to relative cephalopelvic disproportion to terminate pregnancy.
出处
《中国妇幼健康研究》
2008年第5期447-449,共3页
Chinese Journal of Woman and Child Health Research
关键词
经产妇
剖宫产
手术指征
胎儿窘迫
multipara
cesarean section
operation indication
fetal distress
