CAJ | 학술논문

目的：分析湖北省妇幼保健院近5年来剖宫产率及剖宫产指征的变化,探讨进一步降低剖宫产率的措施。方法回顾性分析2009年至2013年湖北省妇幼保健院分娩的孕产妇临床资料,比较了近5年来剖宫产率及剖宫产指征的变化。结果①剖宫产率有显著下降趋势(P<0.01),2009年为59.36%,2013年为50.08%。②自2010年开始,剖宫产指征位于前6位的是：前次剖宫产、胎儿窘迫、社会因素、臀位(横位),巨大胎儿,羊水过少。③剖宫产指征中,前次剖宫产、羊水过少、臀位(横位)、双胎妊娠呈明显上升趋势,而胎儿窘迫及社会因素出现下降趋势。结论近年来剖宫产率已呈下降趋势,加强健康教育和孕期体重管理,提高超声诊断技术和阴道助产技术,提倡剖宫产后再次妊娠阴道分娩有望进一步降低剖宫产率。
목적：분석호북성부유보건원근5년래부궁산솔급부궁산지정적변화,탐토진일보강저부궁산솔적조시。방법회고성분석2009년지2013년호북성부유보건원분면적잉산부림상자료,비교료근5년래부궁산솔급부궁산지정적변화。결과①부궁산솔유현저하강추세(P<0.01),2009년위59.36%,2013년위50.08%。②자2010년개시,부궁산지정위우전6위적시：전차부궁산、태인군박、사회인소、둔위(횡위),거대태인,양수과소。③부궁산지정중,전차부궁산、양수과소、둔위(횡위)、쌍태임신정명현상승추세,이태인군박급사회인소출현하강추세。결론근년래부궁산솔이정하강추세,가강건강교육화잉기체중관리,제고초성진단기술화음도조산기술,제창부궁산후재차임신음도분면유망진일보강저부궁산솔。
Objective To analyze the changes of cesarean delivery rates and cesarean section indications in recent five years in Maternal and Child Health Hospital of Hubei Province and to further explore the measures that can reduce the cesarean sec-tion rate.Methods Clinical data of women who gave birth in the Maternal and Child Health Hospital of Hubei Province from 2009 to 2013 were retrospectively analyzed.The changes of cesarean delivery rates and cesarean section indications were exam-ined.Results ①The rate of cesarean section was significantly decreased from 59.36% in 2009 to 50.08% in 2013(P<0.01).②The top six indications for cesarean section since 2010 were previous cesarean section,fetal distress,social factors,breech (transverse),fetal macrosomia,oligohydramnios.③Analysis of cesarean section indications showed that women who had the history of cesarean section,oligohydramnios,breech(transverse)and twin pregnancy were more likely to receive cesarean sec-tion.The number of women who underwent cesarean section due to fetal distress and social factors tended to de-crease.Conclusion The cesarean section rate tends to decrease in recent years.Strengthening the health education,controlling the weight of pregnant women,improving ultrasound diagnostic techniques and vaginal delivery technology,and advocating vagi-nal birth for women with prior cesarean section can help further reduce the rate of cesarean section.