“二孩”政策下剖宫产指征变化分析  

The changes of indications of cesarean section under the two-child policy

作　　者：方芳[1] 陈培芳[1] 陈静[1] 刘姗姗 Fang Fang;Chen Peifang;Chen Jing(Nanjing Tongren Hospital Affiliated to Medical College of Southeast University,Nanjing 211102)

机构地区：[1]东南大学医学院附属南京同仁医院妇产科

出　　处：《中国现代医药杂志》2019年第7期35-38,共4页Modern Medicine Journal of China

摘　　要：目的分析"二孩"政策实施前后我院剖宫产指征的变化趋势.方法选择2014年9月~2018年5月在我院分娩的产妇共计5016例,以2016年4月江苏省"二孩"政策正式实施为分组界限,回顾性分析比较政策实施前后剖宫产指征的差异.结果产妇平均年龄由政策实施前的(27.67±4.30)岁上升至实施后的(29.33±4.20)岁;经产妇占比由政策实施前的36.0%显著提升至实施后的52.0%;剖宫产指征在政策实施后也出现结构性改变,其中疤痕子宫占比由14.0%上升至17.9%,产程异常、巨大儿及羊水异常为指征的剖宫产率下降.结论"二孩"政策实施后,剖宫产指征出现结构性变化,疤痕子宫占比明显升高.Objective To analyze the change trend of indications of cesarean section for parturient women in our hospital before and after the implementation of the two-child policy.Methods 5 016 maternal women hospitalized in our hospital from Sep 2014 to May 2018 were selected,and the two-child policy was formally implemented in Apr 2016 in Jiangsu Province as the grouping boundary.The differences in indicators of cesarean section were retrospectively analyzed and compared before and after the two-child policy.Results After the two-child policy,the average age of delivery woman increased from(27.67±4.30)years to(29.33±4.20)years,the proportion of parturients increased from 36.0%to 52.0%.The indicators of cesarean section also showed structural changes after the policy,in which the proportion of scar uterus increased from 14.0%to 17.9%,and the rate of cesarean section indicated by abnormal labor,giant child and abnormal amniotic fluid decreased.Conclusion After the two-child policy,the indicators of cesarean section shows structural changes,and the proportion of scar uterus significantly increases.

关 键 词："二孩"政策 剖宫产指征 疤痕子宫 

分 类 号：R719.8[医药卫生—妇产科学]