目的：探讨导致高剖宫产率的影响因素，寻找降低剖宫产率的有效措施。方法回顾性分析2011年1月至2014年12月19133例产妇的剖宫产率及剖宫产指征构成。结果剖宫产9314例，剖宫产率48.68%，剖宫产率呈逐年下降趋势。其中社会因素及瘢痕子宫的构成比始终位于前2位，但社会因素构成比逐年下降，瘢痕子宫构成比逐年上升，2014年已达44.40%，成为主要指征。分析2014年瘢痕子宫前次剖宫产指征有38.29%为社会因素。结论近4年剖宫产率已呈下降趋势，但仍偏高，社会因素及瘢痕子宫是高剖宫产率的主要影响因素，且高社会因素剖宫产率负有不可推卸的责任，因此要严格把握剖宫产术指征、加强健康教育、规范产检，提倡剖宫产后再次妊娠阴道分娩，从而达到降低剖宫产率的目的。%Objective To investigate the influential factors of high caesarean section rate,and seek the effective measures to reduce the rate. Methods Clinical data of 19133 of puerperal during Jan 2011 to Dec 2014 were retrospectively analyzed,to investigate the caesarean section rate and the influential factors. Recult There were 9314 cases(48.68%)of caesarean,but the caesarean section rate was significantly decreased from 59.84%in 2011 to 43.56%in 2014. The top 2 indications always were social factor and previous cesarean section,but the rate of previous cesarean section was rising to 44.40%,the top 1 in 2014,as the social factor was declining. The 1st cesarean section indications of previous cesarean section in 2014 was social factor,about 38.29%. Conclusion The caesarean section rate tends to decrease in the past 4 years,but still is high. The social factor and the previous cesarean section are still the main influential factors of high caesarean section rate,especially the social factor. Accordingly,strict indication,prenatal health education,regular antenatal care,vaginal birth after cesarean section,may contribute to a lower caesarean section rate.
展开▼
