826例产妇剖宫产情况调查及影响因素分析

目的:了解北京市剖宫产的现状、探讨剖宫产率居高不下的影响因素。方法:于2003年8~12月对北京市9所助产单位分娩的826例产妇进行问卷调查。结果:①全市医院剖宫产率为52.54%;②多因素分析显示年龄≥35岁、本市户籍、产检次数≥8次、有妊娠合并症、新生儿出生体重≥4000g、分娩意愿等剖宫产可能性大;③相对头盆不称、社会因素、胎儿宫内窘迫为前3位的剖宫产原因。结论:近年来剖宫产率有上升趋势,应加强孕产妇产前宣教,医生应合理掌握剖宫产指征,尽量减少非医学指征的剖宫产可降低剖宫产率。

Study on the situation of cesarean section and its influence factors in Beijing

Objective:In order to investigate the occurrence of cesarean section (CS) in Beijing and explore the factors related to high CS rate.Methods:The survey was carried out in 9 hospitals with obstetrics during Aug. to Dec. 2003 in Beijing.826 lying-in women answered the questionnaire.Results:The average rate of cesarean section was 52.54%.The analysis showed that women who were more than 35 years old, with native Beijing census register, more than 8 times of antenatal visits, with gestation complication, over 4 000 gram birth weight, had CS trend, were more likely to have CS.The rank orders of indications for CS were as follows: cephalopelvic disproportion, social factors, fetal distress.Conclusion:Rate of CS in the hospitals showed an increasing trend in Beijing which suggested that intervention with health education be carried out for both pregnant women and obstetricians.