剖宫产率及剖宫产指征的临床分析

目的：分析剖宫产率及剖宫产指征的变化,为降低剖宫产率的具体措施提供资料。方法：对本院产科2006年1月～2010年12月住院分娩产妇的临床资料进行回顾性分析,分析其剖宫产率及剖宫产指征的变化。结果：①剖宫产率逐年上升,从2006年的33.51%上升至2010年的35.70%（P〈0.05）;②剖宫产主要手术指征的变化,剖宫产构成比有显著升高的是瘢痕子宫、羊水过少、胎儿窘迫、相对头盆不称;下降的有难产、妊娠并发（合并）症、社会因素等;变化不大的是巨大儿、胎位异常。结论：剖宫产率升高主要为无医学指征行剖宫产增多所致,严格掌握剖宫产指征,加强助产技术培训,提高产科质量,加强孕产妇围生保健和健康教育,可在一定程度上降低剖宫产率。

Clinical analysis on cesarean section rate and cesarean section indication

Objective：Analysis the changes of cesarean section rates and cesarean section indication, and provide material to lower the cesarean section rates. Methods：The clinical data of pregnant woman in our obstetrical department from January 2006 to December 2010 were analyzed retrospectively. Results：①The cesarean section rates increased yearly, from 33.51% in 2006 to 35.70% in 2010 （P0.05）; ②Changes in the main cesarean section indication：What had significantly higher in the constituent ratio were scar uterus, oligohydramnios, fetal distress, relative cephalopelvic disproportion;Dystocia, pregnancy complications, social factors etc were decreased;Macrosomia and abnormal fetal position had no change. Conclusion：The rising in cesarean section rate is caused by the increase of cesarean section who have no medical incication. Mastering strictly cesarean section indications, strengthening midwifery skills training, improving the quality of obstetric, strengthening maternal perinatal health care and implementing can help reduce the rate of caesarean section to a certain extent.