摘要
目的分析昆明医科大学第一附属医院近5 a来所有剖宫产术的指征变化情况及引起剖宫产率变化的主要因素.方法回顾性研究昆明医科大学第一附属医院2009年1月至2013年12月间分娩产妇18 340例,剖宫产6 932例临床资料,比较逐年剖宫产率、剖宫产指征的变化及影响因素.结果昆明医科大学第一附属医院2010年剖宫产率最高为45.76%,2009年剖宫产率为40.03%,2011年36.27%,2012年33.29%,2013年36.29%,在采取各种措施降低剖宫产率的办法后首次剖宫产率逐年下降.指征变化为瘢痕子宫的2009年为11.7%,2013年为20.4%;前置胎盘因素由2009年占总剖宫产率的0.8%剖宫产率到2013年的总剖宫产率的1.9%;宫缩乏力等难产因素由2009年占总剖宫产率的0.2%到2013年的1.9%;社会因素如母亲要求导致的剖宫产率占总剖宫产率由2009年的23.3%降为2013年的17.0%,且在2012年孕妇要求的剖宫产指征最低将为15.7%.结论近5 a来昆明医科大学第一附属医院分娩孕产妇剖宫产率逐年降低,剖宫产指征也有大的变化和迁移,瘢痕子宫、前置胎盘及宫缩乏力等难产因素呈现逐年升高,应采取相应的干预和预防措施.
Objective To analyze the indications of cesarean section and the main influencing factors of the change of the cesarean section rate in our hospital in recent 5 years. Methods We retrospectively analyzed the clinical data of 18340 cases of pregnant women,6932 cases of cesarean section from January 2009 to December2013. Cesarean delivery rate and cesarean section indications of recent changes and influencing factors were analyzed.Results In 2010,45.76% cesarean delivery rate was the highest in our hospital than that of other years. Various measures were taken to reduce the rate of cesarean delivery,the cesarean delivery rate was reduced year by year form45.76% to 36.29% in 2013. But indications for the scar uterus changed from 11.7% in 2009 to 20.4% in 2013,placenta previa factors in 2009 accounted for 0.8% of the total rate of cesarean delivery and changed to 1.9% in 2013.And the lack of contractions and dystocia factors in 2009,accounting for 0.2% of the total rate of cesarean section in2013 to 1.9% increased year by year, social factors such as mother asked cesarean delivery rate of cesarean section rate changed from 23.3% in 2009 to 17.0% in 2013, in 2012, and the mother asked the cesarean section indications had a minimum of 15.7%.Conclusions In recent 5 years, cesarean delivery rate has been reduced year by year, and the indications have changed. Scar uterus, placenta previa, and the lack of contractions duringchildbirth factors are rising year by year. Measures should be taken to decrease the cesarean delivery rate.
出处
《昆明医科大学学报》
CAS
2015年第2期106-109,共4页
Journal of Kunming Medical University
关键词
剖宫产率
指征
影响因素
Cesarean section rate
Indication
Influencing factors
