8年剖宫产率及剖宫产指征分析

Analysis of the rate and indications of cesarean section in recent eight years

摘要: 目的:分析近8年剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的临床措施。方法:对2000~2007年来10 377例分娩孕妇的临床资料进行回顾性分析,比较剖宫产率和剖宫产手术指征变化。结果:剖宫产率逐年升高,2000年为29.4%,2007年升至60.1%。剖宫产主要指征为社会因素、胎儿窘迫、难产、妊娠并发症,其中社会因素上升最快。结论:降低剖宫产率的关键是严格掌握剖宫产指征,积极处理难产,减少因社会因素而行的剖宫产。

Abstract: Objective: To analyze the change in cesarean rate and indications from 2000 to 2007,and to investigate measures of decreasing the rate of cesarean section.Methods: Retrospective analysis of the data of 10 377 cases of pregnant women in the recent 8 years was carried out to compare the changes in cesarean rate and surgical indications.Results: The rate of cesarean has been increasing year by year.It was 29.4% in 2000 and 60.1% in 2007.The indications were social factors,fetal distress,pregnancy complications and dystocia.Among them,social factors increased the most.Conclusions: The key to lowering the rate of cesarean section is to grasp the medical indication strictly and manage clinical dystocia actively,as well as decreasing the cesarean of social factors.