2009-2013年大连市剖宫产状况及影响因素的分析

发布时间：2018-02-25 18:15

  本文关键词： 剖宫产率 手术指征 社会因素　出处：《大连医科大学》2014年硕士论文　论文类型：学位论文

【摘要】：目的：分析大连地区5年来不同级别助产机构剖宫产状况及剖宫产的主要影响因素，为卫生行政部门提供决策支持，并为进一步开展前瞻性的干预研究提供科学依据。 方法：将大连市助产机构按照省、市、县区、乡镇等分为4个级别，对2009—2013年在各级机构住院分娩产妇的分娩方式进行统计汇总，对剖宫产状况及剖宫产影响因素进行分析。 结果：2009—2013年大连市助产机构共接产268281人次，顺产123616人次，占46.08%；剖宫产137691人次，占51.32%；阴道手术助产6974人次，占2.60%。2009-2013年大连市助产机构住分娩产妇数以县区、地市两级构成比最多,选择在地市级机构分娩的产妇逐渐增加，在乡镇级机构分娩的有所减少。5年来全市剖宫产率无明显变化，维持在50-52%之间。从机构级别来看剖宫产率由省级、县区、乡镇级、地市级依次降低，但仍高于发达国家。乡镇级剖宫产率呈现出逐年上升的趋势，省级和地市级助产机构的剖宫产率呈现出平稳中有所下降的趋势，县区级变化不大。从剖宫产率≥50%的机构构成比来看，乡镇级机构剖宫产率≥50%的比例最少，乡镇、县区两级机构剖宫产率≥50%的机构比例都呈逐年增加趋势。 结论：1.大连市2009年-2013年剖宫产率总体高居不下，均在50%左右，已远远高于15％的世界平均水平。2.近5年大连市剖宫产率总体变化不大，剖宫产率呈现省级、县区级最高，而乡镇级上升较快的态势。3.剖宫产率的影响因素是多方面的，社会因素为近年来大连市剖宫产率显著升高的主要因素，应减少社会因素对分娩的干扰，从而达到降低剖宫产率。
[Abstract]:Objective: to analyze the situation of cesarean section and the main influencing factors of cesarean section in different levels of midwifery in Dalian area during the past 5 years, to provide decision support for health administration department, and to provide scientific basis for further prospective intervention research. Methods: according to province, city, county, township and so on, the midwifery organization in Dalian was divided into 4 levels. The delivery mode of hospitalized parturient in all levels from 2009 to 2013 was statistically collected, and the condition of cesarean section and the influencing factors of cesarean section were analyzed. Results from 2009 to 2013, the number of births in Dalian was 268281, 123616 (46.08), 137691 (51.3232) by cesarean section and 6974 (2.60.2009-2013) by vaginal surgery. The number of parturient in Dalian from 2009 to 2013 was county and district, and the ratio between prefectural and municipal levels was the highest. The number of women who choose to give birth at the prefectural and municipal level has gradually increased, and the number of births at the township level has decreased. In the past five years, the cesarean section rate in the whole city has not changed significantly, and it has remained between 50-52%. From the institutional level, the cesarean section rate is at the provincial, county, district, township, and township levels. The rate of cesarean section at the township level showed an increasing trend year by year, and the cesarean section rate of the provincial and municipal midwifery institutions showed a steady downward trend. The proportion of caesarean section rate 鈮，

本文编号：1534625