CAJ | 학술논문

目的：获得剖宫产率上升的原因。方法：对南阳市中心医院2009年1月-2013年12月住院分娩的6238位产妇的资料进行统计，对2012-2013年的1514位产妇的资料进行回顾性分析。结果：5年来的剖宫产率逐年上升；影响因素依次为社会因素>胎儿宫内窘迫>脐带绕颈>羊水过少>妊娠并发症或合并症>臀位>巨大儿>瘢痕子宫。结论：从孕妇和家属方面入手，加大健康教育和宣传的力度，告知顺产与剖宫产的利与弊，改变孕妇对阴道分娩的错误认识，使其在未分娩前就决定正确的分娩方式；医生掌握正确的剖宫产指征，从而使剖宫产率稳定在一个合理的范围内，最大限度地保护母婴安全，最终实现“儿童优生，母亲安全”的目的，更好地为妇女和儿童的健康服务。
목적：획득부궁산솔상승적원인。방법：대남양시중심의원2009년1월-2013년12월주원분면적6238위산부적자료진행통계，대2012-2013년적1514위산부적자료진행회고성분석。결과：5년래적부궁산솔축년상승；영향인소의차위사회인소>태인궁내군박>제대요경>양수과소>임신병발증혹합병증>둔위>거대인>반흔자궁。결론：종잉부화가속방면입수，가대건강교육화선전적력도，고지순산여부궁산적리여폐，개변잉부대음도분면적착오인식，사기재미분면전취결정정학적분면방식；의생장악정학적부궁산지정，종이사부궁산솔은정재일개합리적범위내，최대한도지보호모영안전，최종실현“인동우생，모친안전”적목적，경호지위부녀화인동적건강복무。
Objective:To explore the causes for the rising cesarean section rate.Method:6238 cases of inpatient delivery who were hospitalized in Nanyang Central Hospital during January 2009 and December 2013 were selected for comparative analysis,while 1514 cases of cesarean section were analyzed retrospectively from 2012 to 2013.Result:The cesarean section rate of 5 years was increasing year by year. Factors affecting as follows:the social factors>fetal distress>cord around neck>oligohydramnios>pregnancy complications>breech>macrosomia>scar uterus.Conclusion:Start with pregnant women and their families, and to increase health education and advocacy efforts,the pros and cons of to inform eutocia cesarean section,change the misconceptions of pregnant women for vaginal delivery,so that before delivery to determine the correct mode of delivery,and doctors should correctly grasp the indications of cesarean section cesarean section rate,so that the stability in a reasonable range,to maximize the protection of safe motherhood,the ultimate purpose of the Child eugenics safe Motherhood"better for women and children’s health services.