剖宫产率和围生儿病死率的关系  

The Relativity between the Rate of Cesarean Section and the Mortality of the Perinatal

作　　者：温凤金[1] 冯家琳[1] 陈丹盈[1] 

机构地区：[1]广东省汕头市汕头大学医学院第二附属医院信息科,汕头市515041

出　　处：《中国病案》2006年第12期39-40,共2页Chinese Medical Record

摘　　要：目的分析近10年剖宫产率及其指征的变化,及对围生儿病死率的影响。方法回顾性分析我院1996年一2005年剖官产孕妇的临床资料。结果(1)剖宫产率逐年上升。(2)1996年～2000年剖官产指征以胎儿因素为首位,2001年～2005年,社会因素占首位。(3)剖宫产率上升,围生儿死亡率也上升。结论剖宫产率升高主要是无医学指征行剖宫产手术增多所致,剖宫产不是一种绝对安全的分娩方式,应降低剖宫产率。Objective To study the cesarean section rate and the changes of cesarean section indications from 1996 to 2005 as well as the influences on perinatal mortality rate. Methods The clinical data of the gravida with cesarean section in these ten years were retrospectively studied. Results （1） The cesarean section rate had increased gradually. （2）The fetus factor ranks first in cesarean section indications in 1996-2000. but the social factor became the top one in 2001-2005. （3） The perinatal death rate increased while the cesarean section rate rose. Conclusion The major cause of increase of the rate of cesarean section is social factors without any medical indications. The cesarean section is not an absolute safe method of delivery. So the rate of cesarean section should be decreased. Key word

关 键 词：剖宫产率 社会因素 围生儿死亡率 

分 类 号：R719.8[医药卫生—妇产科学]