剖宫产率下降的相关措施分析  

Analysis of the relevant measures of decreasing cesarean section rate

作　　者：王艳琴[1] 席亚娟[1] 张泽华[1] 王媛媛[1] 马彦彦[1] 

机构地区：[1]清华大学玉泉医院妇产科,北京100040

出　　处：《中国临床医生杂志》2016年第10期28-30,共3页Chinese Journal For Clinicians

摘　　要：目的分析剖宫产率下降所采取的相关措施。方法总结本院2013年和2015年的剖宫产指征和剖宫产率变化情况,以及使得剖宫产率下降所采取的措施。结果与2013年相比,2015年剖宫产率、首次剖宫产率均下降(P<0.05)。以胎儿窘迫、活跃期停滞、相对头盆不称、巨大儿、骨盆因素为指征的剖宫产均有下降(P<0.05),以宫内感染、引产失败、其他为指征的剖宫产占比下降,但差异均无显著性(P>0.05)。剖宫产指征顺位发生变化。结论采取一系列综合措施,使得剖宫产指征顺位趋于客观合理,剖宫产率下降。控制首次剖宫产是进一步降低剖宫产率的首要因素。Objective Analysis of the relevant measures of decreasing cesarean section rate.Method We summarized the change of cesarean section indication and cesarean section rate between 2013 and 2015 in our hospital,and making measures to decrease cesarean section rate.Result In 2015,the cesarean section rate and the first cesarean section rate both decreased（P〈0.05 respectively） compared with 2013.The fetal distress,active phase arrest,relative cephalopelvic disproportion,macrosomoia,and pelvic factor decreased（P〉0.05 respectively）.The intrauterine infection,failed induction of labor and other indications decreased,but the difference had no statistical significance（P〈0.05 respectively）.The sequence of cesarean section indication changed.Conclusion Taking a series of comprehensive measures make the sequence of cesarean section indication tend to objective and reasonable.Further cesarean section rate decrease.To control the first cesarean sections are primary factor to reduce cesarean section rate.

关 键 词：剖宫产指征 剖宫产率 首次剖宫产 重复剖宫产 产程 

分 类 号：R719.8[医药卫生—妇产科学]