降低剖宫产率的措施与对策

摘要

Objective:To analyze the causes of increasing cesarean rate and discuss the countermeasures for decreasing the cesarean rate of ce-sarean delivery woman.Methods:The cesarean rate and operation indication of cesarean delivery woman admitted into Duanzhou Maternal and Child Health Hospital of Zhaoqin from January 2012 to December 2015 were retrospectively analyzed.Results:The cesarean rate was 45.69 % in 2012, 44.81 % in 2013, and 44.23 % in 2014, while it was 38.43 % in 2015.The cesarean rate in 2015 was less than that in 2014, and there was significant difference ( P <0.05).The constituent ratio of cesarean section without medical indication decreased significantly from 42.60%in January 2012 to 7.84 % in December 2015, with the difference statistically significant ( P <0.05).While the constituent ratio of scarred uterus and fetal distress was significantly increased, the difference statistically significant ( P <0.05).Conclusion:The secondary pregnancy of women with cicatricial uterus is the important cause of the increasing rate of subsequent cesarean section , and thus strictly grasping the operation indication and improving medical staff's delivery level are the effective countermeasures to decrease the cesarean rate of cesarean delivery women .%目的：通过分析剖宫产率增高的原因，探讨降低剖宫产率的措施与对策。方法：回顾性分析2012年1月至2015年12月剖宫产率及手术指征。结果：2012－2014年剖宫产率分别为45．69％、44．81％、44．23％，持续在较高的水平；2015年剖宫产率下降至38．43％，与2014年比较差异有统计学意义（ P ＜0．05）；2012年1月至2015年12月，无指征剖宫产率由42．60％下降至7．84％（ P ＜0．05），而瘢痕子宫率、胎儿窘迫率呈上升趋势（ P ＜0．05）。结论：瘢痕子宫再次妊娠是未来剖宫产率持续增高的重要原因，因此严格掌握剖宫产手术指征，提高医务人员的助产水平是降低剖宫产率的有效措施与对策。