无医学指征剖宫产的影响因素及对策  

Influencing Factors and Countermeasures of Cesarean Delivery on Maternal Request

作　　者：武春鸿 何宁 陈凯 WU Chun-hong;HE Ning;CHEN Kai(Department of Obstetrics and Gynecology,Jinan Hospital of Integrated Chinese and Western Medicine,Jinan 271199,China)

机构地区：[1]济南市中西医结合医院妇产科,山东济南271199 [2]山东第一医科大学附属人民医院/济南市人民医院妇产科,山东济南271199

出　　处：《医学与哲学》2023年第6期69-73,共5页Medicine and Philosophy

基　　金：2020年济南市卫生健康委员会科技计划项目(20204141)。

摘　　要：无医学指征剖宫产是造成高剖宫产率的一个重要原因,也是公共卫生和全世界医疗机构关注的问题。事实上,许多潜在因素包括社会人口学、传统文化、家庭、法理及医源因素在无医学指征剖宫产形成中发挥了重要作用,并加剧了无医学指征剖宫产这一现象出现。更重要的是,通过构建和谐医疗环境、提高无痛分娩率、加强妊娠期健康宣教、规范产科管理、优化分娩环境和增加人文关怀等合理干预可有效降低无医学指征剖宫产。期望为卫生政策制定、临床指南和促进该领域未来的临床实践提供有意义的参考。Cesarean delivery on maternal request(CDMR)is a major reason to the high cesarean delivery rate,and has always been a concern of public health and medical institutions worldwide.Actually,many potential factors including the sociodemographic,traditional culture,domestic,legal and iatrogenic reasons also played important roles in the formation of CDMR,and aggravated the occurrence of CDMR.More importantly,applying rational intervention through constructing a harmonious medical environment,increasing the painless delivery rate,strengthening the health education during pregnancy,standardizing obstetric management,optimizing labor environment,and promoting humanistic care can effectively reduce the CDMR.Furthermore,we expect this study will provide a valuable reference for health policy development,clinical guideline and the promotion of future clinical practice in this field.

关 键 词：无医学指征剖宫产 风险因素 医学指征 

分 类 号：R-05[医药卫生]