临产后剖宫产手术指征分析

目的探讨合理掌握产程中剖宫产指征,寻求进一步降低剖宫产率的有效措施。方法回顾性分析在产程中改行剖宫产术的212例孕产妇的病历资料,调查其发生率及手术指征的构成比,并探讨其相关因素。结果临产后剖宫产手术指征构成:社会因素61例(28.77%),胎儿窘迫57例(26.89%),产程异常37例(17.45%),相对头盆不称32例(15.09%),巨大儿9例(4.25%),胎位异常8例(3.77%)和其他8例(3.77%)。结论产科医生应不断提高技术水平,严格掌握剖宫产指征;同时通过加强围生期保健,针对孕妇要求剖宫产的原因采取措施,切实降低剖宫产率。

Analysis of cesarean section indications during labor

Objective To explore cesarean section indications during labor,then make effective policy to reduce the cesarean section rate.Methods Retrospective analysis of the cases which have cesarean section during labor,212 cases were enrolled,we investigated related factors including the fetus,the mother and the labor progress.Results The indications for cesarean section during labor including: cesarean delivery on maternal request(CDMR) 61 cases(28.77%),fetal distress 57(26.89%),failure to progress during labor 37 cases(17.45%),relative cephalopelvic disproportion in 32 cases(15.09%),macrosomia in 9 cases(4.25%),abnormal fetal position in 8 cases(3.77%),other 8 cases(3.77%).Conclusion Obstetricians should constantly improve their clinical skills,implement cesarean section with strict obstetrical indications.