不同生育政策下剖宫产指征变化及医院管理策略研究  

Analysis of the Cesarean Section Rate and the Indications for Cesarean Section Changes Based on the Different Fertility Policies and Hospital Management Strategy

作　　者：刘丽敏 马雪童[3] 焦明丽 黎迎[1] 房慧莹 姜可欣 

机构地区：[1]哈尔滨医科大学卫生管理学院,黑龙江哈尔滨150081 [2]哈尔滨医科大学附属第二医院,黑龙江哈尔滨150086 [3]佳木斯大学,黑龙江佳木斯154007

出　　处：《中国医院管理》2017年第11期46-48,78,共4页Chinese Hospital Management

基　　金：黑龙江省卫生计生委科研课题(2017-102)

摘　　要：目的分析生育政策调整前后剖宫产率、剖宫产指征的变化趋势,为降低剖宫产率提出建议。方法应用SPSS21.0软件进行统计分析,描述各项指标变化趋势。结果伴随生育政策调整,剖宫产率下降明显,但是年龄变化趋势不大,胎膜早破、巨大儿、高龄初产近年来呈现上升趋势,而无指征剖宫产在全面二胎政策开放后,顺位排名降低至第7位以后。结论孕产妇生育方式受到了生育政策调整的影响,伴随生育政策的继续推进,剖宫产率将持续下降,同时,严格把控无指征剖宫产发生率,对孕产妇二胎受孕及分娩的安全性也起到了一定的保证。Objective To analyze the cesarean section rate and cesarean section refers to the changing trend of syndrome before and after the adjustment of fertility policy,in order to reduce the rate of cesarean section and put forward the reasonable suggestions.Method The SPSS21.0 package was applied for statistical analysis,to describe the changing trend of the index.Result With the fertility policy adjustment,cesarean section rate decreases significantly,but the age trend does not change a lot;prom,macrosomia and elderly primipara cesarean section in recent years show a rising trend as the main indications for cesarean section,but ranking of no indications of cesarean section in the fully open two-child policy reduced to after the seventh.Conclusion The fertility policy adjustments have some effects on the choice of the provincial maternal birth way.With the family planning policy continues to advance,the cesarean section rate will continue to decline,at the same time,strictly controlling the cesarean section rate of syndrome is in favor of ensuring the safety of maternal pregnancy and child birth.

关 键 词：剖宫产 无指征剖宫产 生育政策 医院管理 

分 类 号：R197.32[医药卫生—卫生事业管理] R719.8[医药卫生—公共卫生与预防医学]