张家口市某二级医院2005-2012年孕产妇分娩方式现状调查  

Investigation on the mode of delivery in a classⅡ hospital of Zhangjiakou from 2005 to 2012

作　　者：王丽 任雁林[2] 曹慧兰[2] 杨春芳 

机构地区：[1]涿鹿县人口和计划生育局技术服务站,河北涿鹿075600 [2]河北北方学院附属第一医院,河北张家口075000 [3]万全县人口和计划生育局技术服务站,河北万全076250

出　　处：《海南医学》2014年第1期129-130,共2页Hainan Medical Journal

基　　金：河北省人口计生委2012年科研计划课题(编号:2012-A29)

摘　　要：目的分析近年来孕产妇的分娩方式、剖宫产指征及影响因素。方法对2005年1月1日至2012年12月31日入住我院的2 450例晚期妊娠孕产妇的分娩方式的临床资料进行回顾性分析。结果剖宫产率呈现出逐年上升的发展趋势,产钳以及胎吸助产数呈现明显下降;剖宫产指征构成比依次由胎儿窘迫、产程异常、头盆不称、妊娠期高血压疾病等变为无指征、胎儿窘迫、瘢痕子宫、头盆不称等。结论无指征剖宫产、高剖宫率与医患双方存在一定的关系,降低以社会因素为指征的剖宫产势在必行。Objective To investigate mode of delivery,indications and influential factors of cesarean section in one hospital of Zhangjiakou. Methods From January , 2005 to December 31st, 2012, the clinical data of mode of delivery, indications and influential factors in 2450 late pregnancy and delivery women were studied retrospective- ly. Results The cesarean delivery rate of delivery mode has increasing tendency recently, the rate of operative vagi- nal delivery （low-forceps and vacisum extracter） is descended obviously. The proportion of cesarean section indica- tions changes from fetal distress, abnormal labor, cephalopelvic disproportion, hypertensive disorders in pregnancy to no indication, fetal distress, scarred uterine, cephalopelvic disproportion. Conclusion It is urgent to reduce no indica- tion of caesarean section, the high rate of caesarean birth.

关 键 词：剖宫产 指征 晚期妊娠 分娩方式 影响因素 

分 类 号：R195[医药卫生—卫生统计学]