4955例剖宫产指征分析  

Cesarean section indication:an analysis of 4 955 cases

作　　者：何辉[1] 张英英[1] 李鹏[1] 

机构地区：[1]安徽省池州市人民医院妇产科,安徽池州247000

出　　处：《安徽医药》2013年第1期89-91,共3页Anhui Medical and Pharmaceutical Journal

摘　　要：目的分析剖宫产指征构成,探讨降低剖宫产率的措施。方法对该院2006—2011年间4 955例剖宫产病例进行回顾性分析。结果 (1)剖宫产率呈上升趋势;(2)剖宫产主要指征按所占比率排名前5位为社会因素、瘢痕子宫、胎儿窘迫、胎膜早破、羊水过少,而且社会因素、瘢痕子宫剖宫产率上升最快。巨大儿剖宫产率呈上升趋势;(3)剖宫产率上升并未降低新生儿窒息率及围生儿死亡率。结论应加强围产期保健,减少妊娠合并症及巨大儿的发生率,正确处理难产,严格掌握剖宫产指征,重视与孕妇及家属的沟通宣教是降低剖宫产率的主要措施。Objective To analyze indications for cesarean section,and to explore measures to reduce the cesarean section rate.Methods 4 955 cases of cesarean section admitted to Chizhou People＇s Hospital from 2006 to 2011 were retrospectively analyzed.Results Cesarean section rate was rising;the top five cesarean section indications scarred uterus,fetal distress,premature rupture of membranes,oligohydramnios.And cesarean sectionsdue to social factors,or scarred uterus increased fact.Macrosomia cesarean section rate was rising.The cesarean section rate did not reduce the rate of neonatal asphyxia and perinatal mortality.Conclusions Perinatal care should be strengthened to reduce the incidence of pregnancy complications and macrosomia.Correctly handling the difficult labor,and strictly adhering to the indications of cesarean section,attaching importance to communication with pregnant women and their familiy members are the main measures to reduce the rate of cesarean section.

关 键 词：剖宫产 社会因素 瘢痕子宫 

分 类 号：R719.8[医药卫生—妇产科学]