上海市剖宫产分娩情况分析  

Analysis on the condition of cesarean section in Shanghai

作　　者：朱丽萍[1] 秦敏[1] 谭晶[1] 何丽萍[1] 杜莉[1] 王哲蔚[1] 许厚琴[1] 金辉[1] 张礼[1] 

机构地区：[1]上海市妇女保健所同济大学附属第一妇婴保健院,200040

出　　处：《中国妇幼保健》2011年第30期4716-4719,共4页Maternal and Child Health Care of China

摘　　要：目的:了解剖宫产分娩情况,为采取干预措施降低剖宫产率提供依据。方法:收集2009年全市各助产医疗机构的分娩登记本资料并进行分析。结果:①上海市剖宫产率为52.7%,其中该市户籍者剖宫产率为68.7%,外地户籍者剖宫产率为44.3%。②全年剖宫产数分布有明显的高峰,高峰日大都是吉利日、长假前、下半年开学前。③剖宫产的指征中社会因素为首位(占34.9%),尤其在剖宫产高峰日的社会因素指征高达41.7%。该市户籍者中社会因素剖宫产比例(48.4%)显著高于外地户籍者(23.8%)。胎儿窘迫和妊娠合并症分别为剖宫产的第二、三位指征(比例分别为18.2%、10.3%)。④剖宫产的产后出血量(240 ml)显著高于阴道产的产后出血量(194.8 ml)。结论:上海市的剖宫产分布呈现与阴道分娩明显不同的高峰现象,而社会因素又是剖宫产的主要原因,提示加强健康教育提高社会尤其是孕妇及其家属对分娩方式利弊的认知水平极为重要和迫切。Objective：To understand the condition of cesarean section in Shanghai,provide a basis for taking interventional measures to reduce the rate of cesarean section. Methods：The data of delivery were collected from midwifery medical institutions in Shanghai in 2009 and analyzed. Results：The rate of cesarean section in Shanghai was 52.7%.The rates of cesarean section among permanent population and floating population were 68.7% and 44.3%,respectively.The number distribution of cesarean section had a significant peak,the peak appeared on white day,before long holiday and new term in the latter half of the year.Among the indications of cesarean section,social factor ranked the first（34.9%）,on peak day of cesarean section,the ratio reached 41.7%.The rate of cesarean section in permanent population was 48.4%,which was higher than that in floating population（23.8%）.The second and third indications of cesarean section were fetal distress（18.2%） and pregnancy complications（10.3%）.The amount of blood loss after delivery in cesarean section group was 240 ml,which was significantly higher than that in vaginal delivery group（194.8 ml）. Conclusion：The distribution of cesarean section shows different peaks in Shanghai,social factor is a main reason of cesarean section,which indicates that it is important and urgent to enhance health education and increase the cognitive level of society,especially the pregnant women and their family members to the advantages and disadvantages of different delivery modes.

关 键 词：剖宫产 高峰日 指征 社会因素 

分 类 号：R719.8[医药卫生—妇产科学]