分娩方式的变化与产科质量关系的探讨

目的：探讨分娩方式的变化与产科质量的影响。方法：收集我院１９９３年至１９７的步同分娩方式的资料，计算出剖宫产手术平均每年递增速度和阴道助产平均每年递减速度，同时同出血率率，新生儿儿死亡率和新生儿窒息率。结果：统计分析表明我院５年中剖 率以平均每年１２％的速度递增，而阴道助产率以平均每年１３．６４％的水平下降。分娩方式变化后，新生儿窒息的发生率１９９７年比１９９３年明显下降，而产后出血率、新生儿死亡

Study of Changing Pattern of Labor on the Obstetric Quality

Objective: To search the effect of changing pattern of labor on the obstetric quality. Methods: {Data about the }difference patterns of delivery from 1993 to 1997 were collected. The average increasing speed of cesarean section and the decreasing speed of vaginal instrumental delivery were analysed. Meanwhile the rate of postpartum hemorrhage, neonatal fatality and the rate of neonatal asphyxia were counted for five years. Results: From 1993 to 1997, the rate of cesarean section increased on the average speed of 12% every year. The rate of vaginal instrumental delivery decreased on the average speed of 13.84%. With the changing pattern of deivery, the rate of neonatal asphyxia was lower in 1993 than that in 1997 (P<0.05). But differences of the rate of postpartum hemorrhage and neonatal fatality were not significantly lower in 1993 than that in 1997 P>0.05). Conclusion: With increasing rate of cesarean section and decreasing rate of vaginal instrumental delivery, neonatal asphyxia can be decreased, but postpartum hemorrhage and neonatal asphyxia can not be deceased effectively.