北京天坛医院20年间剖宫产率变化及分析  

Changes in frequency and indication of cesarean section in Beijing Tiantan Hospital

作　　者：李燕蓉[1] 梁竹巍[1] 贾晓芳[1] 

机构地区：[1]首都医科大学附属北京天坛医院妇产科,北京100050

出　　处：《武警医学》2007年第12期916-918,共3页Medical Journal of the Chinese People's Armed Police Force

基　　金：首都医学发展科研基金(2002-1002)

摘　　要：目的寻找剖宫产率上升的原因，提高分娩质量，降低剖宫产率。方法分析1986—2005年20年间北京天坛医院剖宫产率及指征的变化。结果相对指征、绝对指征、社会因素引起的剖宫产率均在上升，社会因素上升的幅度最大，所占比例由1986—1990年间的16．29％上升到第三段34．58％。结论绝对指征剖宫产率上升是合理的，相对指征剖宫产率上升是不完全合理的，社会因素所致剖宫产率上升是不合理的。严格掌握剖宫产指征，是降低剖宫产率的重要措施。Objective To summarize the changes in frequency and indication of cesarean section performed in this hospital from 1986 to 2005. Methods The clinical data of the pregnant women with cesarean section in past 20 years were retrespeetively studied. Results The frequency of cesarean section increased year by year. It was 27.83% in 1986 and up to 53.68% in 2005,significantly higher than that recommended by WHO.During the period from 1986 to 2005, for indications of cesarean section,fetal distress（ intrauterine asphyxia）ranked first,and difficult labor the second.But in recent years, social- psychological factors became the predominant cause and fetal distress was the second cause of Cesarean section. Conclusions The major causes of increasing freguency of cesarean section are social factors without any medical indication.So the key to reducing the cesarean section is to strictly abide by the medical indication to cesarean section.

关 键 词：剖宫产率 剖宫产指征 社会因素 

分 类 号：R714[医药卫生—妇产科学]