311例经产妇剖宫产手术指征分析

目的:对经产妇再次分娩时的剖宫产率及手术指征进行分析,总结临床经验。方法:1999年1月-2003年12月期间在仁济医院产科分娩且符合条件(下述)的经产妇311例,统计其刮宫产率及手术指征,并加以分析。结果:经产妇的剖宫产率为29.90%,其手术指征中首位是胎儿宫内窘迫,占13.50%;其次是巨大儿,占6.11%;相隔10年以上再次分娩的经产妇更易发生相对性头盆不称。结论:胎儿宫内窘迫是经产妇剖宫产术的首要原因,及时手术是避免围产儿预后不良的重要措施;因巨大儿手术者居其次,对分娩方式应个体化考虑;相隔10年以上再次分娩的经产妇剖宫产率较高,更易因相对性头盆不称而不得不手术终止妊娠。

Analysis of the Cesarean Section Rate and the Operative Indications in 311 Multiparas

Objective:Our purpose is to analyse the cesarean section rate and the operative indications in the multiparas to accumulate the clinical experience. Methods: 311 multiparas who delivered the second babies in our hospital from January 1999 to December 2003 were collected to analyse the cs rate and the operative indications. Results:The cs rate is 29. 90% , and the first cause of it is due to fetal distress (13. 50%) (the second is macrosomia(6. 11%). Among those multiparas who delivered the second babies 10 years later, the incidence of relative cephalopelvic disproportion is much higher. Conclusion: Fetal distress is much common in the multiparas,so we must operate in due time; the following is macrosomia, the management must be taken individually;the cs rate is much higher in those who delivered the second babies 10 years later,of which the incidence of relative cephalopelvic disproportion is significant difference.