Abstract：Objective To study the changes of cesarean section rate and indication of cesarean section in our hospital from 2012 to 2019.Methods A total of 20 289 pregnant women who labor in the First Affiliated Hospital of Fujian Medical University from January 1,2012 to December 31,2019 were selected,among which 11 010 were delivered by cesarean section.The cesarean section rates in each year were compared,the trend of changes in indications of cesarean section operation were analyzed,and the measures of reducing the cesarean section rate were proposed.Results The rate of cesarean section in our hospital decreased year by year from 2012 to 2019.The rate of cesarean section in 2019 was 50.500%,which was lower than that of 61.159% in 2012,and the difference was statistically significant (P＜0.05).Social factors and scar uterus ranked first and second among all indications of cesarean section operation.The proportion of scar uterus increased year by year,and it ranked second in the first two years and jumped to the first place in the next six years.On the contrary,the proportion of social factors has decreased year by year,it ranked the first in 2012-2013,the second in 2014-2018,and fell to the fourth in 2019,there were differences in comparison between the years (P＜0.05).The pregnancy comorbidities and complications increased year by year,while the abnormal labor decreased year by year，the differences between the years were statistically significant (P＜0.05).Conclusion The cesarean section rate of our hospital has decreased year by year in the past 8 years,but it is still relatively high.The main reason is the increased number of pregnant women with scarred uterus,pregnancy comorbidities and complications.The indications of the first cesarean section should be strictly controlled,the cesarean section without medical indications should be reduced as far as possible,the new stage of labor should be standardized,the full trial production should be given,and the vaginal delivery rate should be increased,so as to achieve the ultimate goal of reducing the cesarean section rate.
陈小芸. 我院2012～2019年剖宫产率及剖宫产手术指征变化分析[J]. 中国当代医药, 2020, 27(31): 192-196.
CHEN Xiao-yun. Analysis on the changes of cesarean section rate and the indication of cesarean section from 2012 to 2019 in our hospital. 中国当代医药, 2020, 27(31): 192-196.
Hidalgo-Lopezosa P，Hidalgo-Maestre M.Risk of uterine rupture in vaginal birth after cesarean：systematic review[J].Enferm Clin，2017，27（1）：28-39.
[4]
Liang J，Mu Y，Li X，et al.Relaxation of the one child policy and trends in caesarean section rates and birth outcomes in China between 2012 and 2016：observational study of nearly seven million health facility births[J].BMJ，2018，360：k817.
[5]
Fitzpatrick KE，Kurinczuk JJ，Alfirevic Z，et al.Uterine rupture by intended mode of delivery in the UK：a national case-control study[J].PLoS Med，2012，9（3）：e1001184.
Li Y X，Bai Z，Long DJ，et al.Predicting the success of vaginal birth after caesarean delivery：a retrospective cohort study in China[J].BMJ Open，2019，9（5）：e027807.
McKinnie V，Swift SE，Wang W，et al.The effect of pregnancy and mode of delivery on the prevalence of urinary and fecal incontinence[J].Am J Obstet Gynecol，2005，193（2）：512-517.
[15]
Bohren MA，Hofmeyr GJ，Sakala C，et al.Continuous support for women during childbirth[J].Cochrane Database Syst Rev，2017，7（7）：CD003766.
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