摘要
目的回顾性分析剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的措施。方法对2008年1月—2011年12月9582例孕妇剖宫产率及指征进行分析。结果剖宫产率2008年为49.2%,2009年为46.1%,2010年43.1%,2011年45.5%,差异有统计学意义(P<0.05)。分析指征表明:孕妇精神因素(29.47%～33.87%)居第一位,其中高龄初产及临界骨盆呈上升趋势,差异有统计学意义(P<0.05),胎儿异常从26.37%上升至31.80%,差异有统计学意义(P<0.05),骨盆狭窄及瘢痕子宫呈下降趋势,差异有统计学意义(P<0.001)。结论近4年精神因素占比大,加大宣传,仍是降低剖宫产率的重点,重视产前检查,控制孕期营养,严格把握剖宫产指征,有助于降低剖宫产率。
Objective：To analyze the rate and indications for cesarean section changes to explore the measures to decrease the rate of ce- sarean. Methods The rate and indication of cesarean section of 9 582 pregnant women from 2008 to 2011 were analyzed. Results The rate of cesarean section were 49.2% in 2008,46.1% in 2009,43.1% in 2010,45.5% in 2011 ,and the difference was statistically sig- nificant（ P 〈 O. 05 ）. Analysis of the indications showed that mental factors of cesarean section（ 29.47% -33.87% ）ranked first ,border- line pelvic contraction and elderly primipara rose year by year, and the differences were statistically significant （P 〈 O. 05 ） ;Fetal factors increased（ 26.37% -31.80% ）, and the difference was statistically significant（ P 〈 0.05 ） ;scar uterus and pelvic stenosis decreased, the difference was statistically significant （ P 〈 0.05 ）. Conclusion Mental factors accounted for large proportion, so strengthening publicity was still important to reduce the rate of cesarean. Paying attention to the prenatal examination, monitoring of nutrition during pregnancy and strict indications control for cesarean section are helpful to reduce the rate of cesarean.
出处
《安徽医药》
CAS
2013年第6期974-976,共3页
Anhui Medical and Pharmaceutical Journal
关键词
剖宫产
剖宫产率
指征
精神因素
cesarean section
cesarean rate
indication
mental factors
