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| 某院2008~2012年剖宫产率与剖宫产指征变化分析 |
| Analysis of cesarean delivery rate and cesarean indications in a hospital from 2008 to 2012 |
| 投稿时间：2014-03-20 修订日期：2015-05-10 |
| DOI：10.3969/j.issn.1000-0399.2015.09.013 |
| 中文关键词: 剖宫产率 剖宫产 上升 下降 |
| 英文关键词: Cesarean delivery rate Cesarean delivery Rising Reduce |
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| 中文摘要: |
| 目的 分析剖宫产率与剖宫产指征变化,探讨剖宫产率上升的原因,指导降低临床剖宫产率。方法 回顾分析某院2008~2012年住院产妇的剖宫产率与剖宫产指征变化。结果 该院2008~2012年的剖宫产率呈上升趋势。剖宫产指征中,社会因素、瘢痕子宫、羊水过少、巨大儿呈上升趋势,而头位难产、妊娠合并症及并发症、过期妊娠、横位等呈下降趋势。结论 社会因素和瘢痕子宫是剖宫产率上升的主要因素,而瘢痕子宫的增加也是由剖宫产率增加所致。控制社会因素剖宫产,减少瘢痕子宫是控制剖宫产率的关键。 |
| 英文摘要: |
| Objective To investigate the causes of rising cesarean delivery and reduce the cesarean delivery rate through the analysis of the cesarean section rate and cesarean delivery charges. Methods The cesarean section rate and surgical indications from 2008 to 2012 in a hospital were retrospectively analysed. Results Cesarean delivery rate was on the rise in the recent 5 years. Among these surgical indications, social factors, scarred uterus, oligohydramnion and fetal macrosomia were on the rise, while head dystocia, pregnancy complications, prolonged pregnancy and transverse presentation were on a declining trend. Conclusion Social factors and scar uterus are the main factors of cesarean delivery, and the increase of scar uterus is caused by the increase of cesarean delivery rate. Therefore, controlling the social factors of cesarean section and reducing scar uterus are the key to reduce the rate of cesarean delivery. |
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