北京市延庆县医院5年孕足月剖宫产率及指征分析

发布时间：2018-03-28 06:30

  本文选题：剖宫产率　切入点：剖宫产指征　出处：《中国妇产科临床杂志》2015年01期

【摘要】：目的探讨剖宫产率及剖宫产指征的变化和对围产儿死亡率的影响,寻找降低剖宫产率的方法。方法回顾性总结北京市延庆县医院2008年1月至2012年12月住院分娩的病历资料,分析剖宫产率及剖宫产指征变化的各项相关数据和围产儿死亡率的关系。结果 1剖宫产率逐年下降[2012年剖宫产率(39.03%)与2008年(53.94%)相比,P0.05];2剖宫产指征中以社会因素为指征的剖宫产率通过医护人员的努力得到了有效的控制而下降,随着剖宫产率的下降,产程异常为指征的剖宫产比例增加;3围产儿死亡率趋于稳定,并未随着剖宫产率的下降而升高,2012年围产儿死亡率(3.17‰)与2008年(2.93‰)相比,差异无统计学意义(χ2=0.04,P0.05)。结论提高助产技术及加强孕期宣教,可进一步降低剖宫产率。
[Abstract]:Objective to investigate the change of cesarean section rate and indications of cesarean section and its influence on perinatal mortality, and to find a way to reduce the rate of cesarean section. Methods the medical records of in-hospital delivery from January 2008 to December 2012 in Yanqing County Hospital of Beijing were retrospectively summarized. Results 1 the rate of cesarean section decreased year by year [the rate of cesarean section in 2012 was 39.03 compared with that in 2008 (P 0.05). The indicated rate of cesarean section has been effectively controlled through the efforts of health care workers. With the decrease of cesarean section rate, the perinatal mortality rate increased with abnormal cesarean section, but did not increase with the decrease of cesarean section rate. The perinatal mortality rate in 2012 was 3.17 鈥，

本文编号：1675143