2010年3月～2014年7月我院剖宫产率和剖宫产指征变化分析及其影响因素探讨

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Abstract ObjectiveTo analyze the changes of cesarean section rates and indications of cesarean section in our hospital and to explore its influencing factors in order to promote the reasonability and standardability of cesarean section.MethodsThe clinical data of cesarean section women from March 2010 to July 2014 were retrospectively analyzed.The maternal delivery mode and cesarean section indications were collected.The proportions of different modes of delivery and various surgical indications were calculated.ResultsCesarean section rates in our hospital from March 2010 to July 2014 was 62.30%,63.43%,56.42%,50.91%,and 58.21%respectively.The cesarean section rate was in a downward trend(χ2=119.644,P<0.01).The vaginal delivery rate during 2010-2014 was 37.67%,36.29%,43.58%,49.09%,and 41.79%respectively.The vaginal delivery rate showed an inclination of increase(P<0.01).The first three indications of cesarean section after analysis in our hospital from 2010 to 2014 were head presentation dystocia,fetal distress,and abnormal fetal position.The proportions of scar uterus and abnormal pelvic were elevating.The percentages of head presentation dystocia,abnormal stages of labor,and social factors were in a tendency of decrease.ConclusionThe cesarean section rate in our hospital has been declining year by year.Its influencing factors are related to social,medical,and economic factors etc.Clinicians should effectively control the indications of cesarean section and reduce the interference of nonmedical factors on the choice of delivery mode in order to control the cesarean section rate in a reasonable range,and improve the diagnosis of obstetric staff and midwifery techniques.

Key words： Cesarean section rate Indication of cesarean section Influencing factors

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	ZHANG Rong

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ZHANG Rong. Analysis of cesarean section rates and indications of cesarean section in our hospital ranging from M arch,2010 to July,2014 and its influencing factors[J]. 中国当代医药, 2018, 25(17): 97-99.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2018/V25/I17/97

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