| 2002～2011年剖宫产发生率增高趋势及原因分析 |
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| 引用本文： | 钟秀英,沈小雅,陈彩儿.2002～2011年剖宫产发生率增高趋势及原因分析[J].中国现代医生,2013(24):151-153. |
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| 作者姓名： | 钟秀英 沈小雅 陈彩儿 |
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| 作者单位： | [1]广州市荔湾区妇幼保健院妇保科,广东广州510375 [2]广州市荔湾区妇幼保健院妇产科,广东广州510375 |
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| 基金项目： | 广东省广州市芳村区科学技术局资助项目（050804） |
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| 摘 要： | 目的探讨近10年来我院产科剖宫产发生率变化趋势，找出减少不必要剖宫产的对策。方法从十年问我院所有剖宫产病例资料计算历年剖宫产率和及其原因构成。结果十年间剖宫产率无明显变化，稳定在34．95％～47．32％；胎儿窘迫、头位难产和社会因素为前三大主因；其中社会因素所占比重呈逐年增高趋势。结论近年社会因素决定的剖宫产率接近20％，应加强健康教育以降低剖宫产率，保护产妇健康。
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| 关 键 词： | 剖宫产 胎儿窘迫 头位难产 社会因素 |
Rate of giving birth by cesarean section and the constitutional causes |
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| Authors: | ZHONG Xiuying SHEN Xiaoya CHEN Caier |
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| Institution: | 1.Women＇s Health Division,Liwan District Maternal and Child Health Hospital, Guangzhou 510375, China;2. De partment of Gynecology and Obstetrics, Liwan District Maternal and Child Health Hospital, Guangzhou 510375, China) |
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| Abstract: | Objective To explore the tendency of the rate of giving birth by cesarean section （C-section）, to find some strategy for controlling C-section. Methods From the data of all C-section cases in the recent 10 years in our hospital, the yearly rate of C-section and the constitutional ＂easons were calculated. Results The rate of C-section in the recent 10 years did not change significantly, being persistent at the levels ranging from 34.95% to 47.32%; fetal distress, cephalic dystocia and social factors were the first three causes for C-section, with an increasing tendency for the proportion of social factors. Conclusion In recent years social factor-determined C-section has taken nearly 20% of the total cases of this operation; the related health education has to be performed for reducing the rate of C-section and promoting the maternal health. |
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| Keywords: | Cesarean section Fetal distress Cephalic dystocia Social factors |
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