剖宫产指征与剖宫产率变化的相关因素分析

目的 总结剖宫产率及剖宫产指征变化,探讨高剖宫产率的原因,分析剖宫产各项指征的合理性,寻找降低剖宫产率的对策.方法 回顾性分析2003年1月-2006年12月1 931例剖宫产病例的临床资料.结果 剖宫产率逐年升高,2003年为41.9%,2006年为61.04%,明显高于WHO提出的目标,2003年剖宫产指征以难产为第1位,而2005-2006年社会因素占第1位.结论 剖宫产率升高主要与医患双方有关,降低剖宫产率应从双方着手.

Analysis on correlation factors of changes of indication and rate of cesarean section

Objective To summarize the rate of cesarean section and the change of indication of cesarean section, explore the reason of high rate of cesarean section, analyze the rationality of each indication of cesarean section, and find the measures of reducing the rate of cesarean section. Methods The clinical information of cases with cesarean section from 2003 to 2006 in our hospital was retrospectively analyzed. Results The rate of cesarean section increased year after year, with 14.9% in 2003 and 61.04% in 2006. They were obviously higher than the object advanced by WHO. Dystocia was the first indication of cesarean section in 2003, while the society factor was the first in recently two years. Conclusions The increase of the rate of cesarean section is mainly correlated with doctor and patients. So reducing the rate of cesarean section should start from both sides.