摘要
目的分析助产机构剖宫产现状及其影响因素,并提出相关解决措施。方法对重庆市2003～2006年产科质量调查资料进行分析。结果开展剖宫产术的助产机构逐年增加,剖宫产率呈逐年上升的趋势.不同等级和地域的助产机构的剖宫产率不一样;新生儿窒息和产后出血的发生率随剖宫产率的升高而降低(P<0.01),但围产儿死亡率并没有随之降低,反而升高(P<0.01)。结论剖宫产率的升高在一定程度上可以降低新生儿窒息的发生率,但过高并不能相应降低围产儿死亡率。因此,应通过多种干预措施来降低剖宫产率。
Objective To provide countermeasures by analysis of present status and the influence factors of cesarean section. Methods We studied the data of Obstetric Quality Investigation from 2003 to 2006 in Chongqing. Results The number of midwifery hospital with cesarean section had increased gradually year. There was a increase trend of cesarean section rate. The rate was dissimilarity in different level or in different area. The rate of cesarean section had the positive correlation with the rate of the neonatal asphyxia, the rate of postpartum hemorrhage （P〈0.01）, but had the negative correlation with the perinatal mortality （P〈0.01 ）. Conclusion The increased cesarean section rate can reduce the rate of the neonatal asphyxia, but further rise of cesarean section rate does not result in the corresponding decrease of the perinatal mortality rate. Therefore, we should reduce the cesarean section rate by interference methods.
出处
《重庆医学》
CAS
CSCD
2007年第19期1999-2000,共2页
Chongqing medicine
关键词
剖宫产术
剖宫产率
影响因素
cesarean section
cesarean section rate
influence factors
