桐乡市剖宫产率变化趋势及对策

目的:剖析近年来剖宫产率逐年上升的原因,为遏制和降低剖宫产率的具体措施提供资料。方法:对本市七所医疗单位近二十年来的产妇病历资料进行回顾性分析。结果:①近十年剖宫产率平均以每年5个百分点速度攀升。②妇产科床位在30～50张之间的县(市)、区级医院剖宫产率上升速度较快。③剖宫产已逐步取代产钳、胎头负压吸引、臀位牵引等分娩方式,是处理重度妊高症、妊娠特发性疾病、妊娠合并症与并发症的重要手段。④社会因素影响剖宫产率。结论:剖宫产率上升已不是一个单纯的医疗问题,而是社会综合因素的结果,须采取综合性的对策和措施加以遏止或降低。

Tendency and Countermeasure of the Cesarean Delivery Rate in the City of Tongxiang

Objective: To analyse the cause of increaseing cesarean delivery rate in the last few years and to provide some countermeasures against it. Methods;A retrospective analysis, based on the obstetrics and gynecology case histories of women who visited seven hospitals/clinics in the past twenty years in Tongxiang, was conducted. Results : (1) The average rate of cesarean delivery has been increasing by 5% per year in last decade. (2) The rate of cesarean delivery increased faster in hospitals with 30-50 sickbeds. (3) Cesarean delivery has gradually taken place of some other childbirthing methods, such as Barton's forceps, negative pressure aspiration, and traction of buttocks , and is becoming an important counter-mesure against hypertension complicated with toxemia of pregnancy. (4) Social factors affected the rate of cesarean delivery. Conclusion: The rise of the cesarean delivery rate is no longer only a medical problem, it more and more reflects the influence of complicated social factors. So we will need to take some comprehensive countermeasures to keep it under control and gradually reduce it.