摘要
目的探讨1996～2003年住院分娩者的剖宫产率及指征的变化。方法回顾性分析8年来剖宫产病例的临床资料。结果①剖宫产率逐年升高,1996～1999年为20.2%,2000～2003年上升至37.5%,明显高于WHO提出的目标;②1996～1999年,剖宫产指征以胎儿宫内窘迫为第1位,难产为第2位;近年来,社会精神因素跃为首位,胎儿宫内窘迫次之。结论剖宫产率上升的主要原因是无医学指征行剖宫产术增加所致,与医患双方有关,降低手术率的关键是减少社会因素和精神因素导致的剖宫产,并严格掌握手术指征。
Objective To summarize the changes in rate and indication of cesarean section performed in our hospital from 1996 to 2003. Methods The clinical data of the pregnant women with cesarean section in eight years were retrospectively studied. Results ① The rate of cesarean section increased year by year. It was 20.09% during the period from 1996 to 1999, and up to 38.30% during the period from 2000 to 2003, which was significantly higher than objective rate recommended by WHO;② During the period from 1996 to 1999, for indications of cesarean section, fetal distress (intrauterine asphyxia) was ranked in the first position, and difficult labor was ranked in the second position. But in recent years, social-psychological factors became the top reason and fetal distress became the second reason of cesarean section. Conclusion The major causes of increasing rate of cesarean section is social factors without any medical indication. So the key to reduce the rate of cesarean section is to strictly abide by the medical indication of cesarean section.[
出处
《国外医学（妇幼保健分册）》
2005年第3期133-134,共2页
Foreign Medical Sciences (Section of Maternal and Child Health)
关键词
剖宫产率
剖宫产指征
社会精神因素
rate of cesarean section
indication
social-psychological factor
