| Objective To summarize the changes in cesarean section rate and its indications constituted, so as to evaluate the effectiveness of measures to reduce the rate of cesarean section. Methods The clinical data of 62506 pregnant women who were hospitalized in this hospital from 2011 to 2015 were retrospectively analyzed, and the statistical analysis was performed in the composition of maternal cesarean section, the change of cesarean section rate, social factors influencing cesarean section and the condition of perinatal infants. Results ① In 2015, the total cesarean section rate of our hospital was 43.90%, which was lower than the 59.30% in 2011(P<0.01). Whereas, the NICU occupancy rate did not change significantly during the five years. ② In terms of the composition of cesarean section indications, the proportion of scar of the uterus occupied 13.06% in 2015, which was higher than that in 2011 (7.01%) with statistical significance(P<0.01). The percentage of social factors behind cesarean section was 15.47% and 4.51% in the year 2011 and 2015, respectively, showing a significant downward trend, and the difference was statistically significant (P<0.01).③For social factors influencing patients with cesarean section, the major concern shifted from pain of delivery in 2011(30.83%) to safety and convenience in cesarean section in 2015(40.02%). Conclusion The overall cesarean section rate of our hospital shows a significant downward trend during the five years, without the increase in perinatal morbidity and mortality. Cesarean section indications in delivery change from the social factors in the past to the scarred uterus at present. |
