湖南省怀化市剖宫产手术指征分析及防控对策研究  

The indications of cesarean section and control strategy study in Huai-hua city of Hunan province

作　　者：蒋富香 申文芳 杨文革[1] 

机构地区：[1]湖南省怀化市妇幼保健院,418000

出　　处：《中国妇幼卫生杂志》2015年第4期31-34,共4页Chinese Journal of Women and Children Health

摘　　要：目的了解湖南省怀化市剖产产妇手术指征,为控制剖宫产率,提出切实有效的干预对策,促进母婴健康。方法收集2013年怀化全市助产服务机构住院分娩产妇的资料,了解剖宫产发生、剖宫产影响因素等相关情况,并对资料进行统计分析。结果怀化市剖宫产率47.22%,剖宫产妇女中母亲因素和社会因素进行剖宫产的人数最多,构成比分别为40.48%和24.75%;前两位剖宫产指征为瘢痕子宫(26.57%)和无指征要求手术(22.72%)。结论瘢痕子宫、无指征要求手术对该地区剖宫产率影响最大。因此有效控制该地区的剖宫产率,关键在于降低初产妇无指征剖宫产率。Objective To study the indications of cesarean section in Huaihua, and provide control strategy for reducing cesarean section rate, in order to promote maternal and child health. Methods To collect basic data of delivery woman in 2013 from all the delivery service agencies in Huaihua, including cesarean delivery and its factors. Results The cesarean section rate was 47.22% in Huai-hua. The main reasons of cesarean section were maternal factor （40.48%） and social factors （24.75%） , and the first two indications of cesarean section were scarred uterus （26.57%） and no indications require （22.72%）. Conclusions Scarred uterus and no indications require were the most important factors for cesarean section in this area. The key to control cesarean section rate was to take measures to reduce no indications cesarean section of unipara.

关 键 词：剖宫产 手术指征 对策 

分 类 号：R719.8[医药卫生—妇产科学]