剖宫产率增高的有关因素分析

【摘要】 目的:探索剖宫产手术适应证的变化趋势。方法:对2009年1月～2010年1月对行剖宫产的479例病历进行回顾性分析。结果:胎儿因素332例,其中胎位异常96例(20.04%),胎儿窘迫103例(1.50%),羊水过少26例(5.43%),脐带绕颈27例(5.64%),巨大儿38例(7.93%),前置胎盘17例(3.55%),双胎5例(1.04%);骨盆狭窄34例(7.10%);孕妇因素84例,妊娠胆汁瘀积25例(5.22%),妊高征21例(4.38%),高龄初产17例(3.55%),瘢痕子宫13例(2.71%),过期孕8例(1.67%);社会因素共29例(6.05%)。结论:胎儿临产异常及孕妇合并疾病仍是剖宫产手术的主要手术指征,但来自孕产妇及医生的主观意愿也影响着对分娩方式的选择。更多还原

【Abstract】 Objective:To explore the trend of changes in the indications for caesarean section.Methods:Data from 479 women delivering by cesarean section from january 2009 to Januany 2010 in the hospital were analyzed reetrospectively.Results:Cesarean section was per formed due to the following factors:fetal factors of 332 fetuses,including 96 cases of malpresentations (20.04%),103 cases of intrapartum fetal distress(21.50%),26 cases of oligohydramnios(5.43%),27 cases of fetal necks circled by umbilical cord(5.64%),38 cases of fetal giants(7.93%),17 cases of placenta previa(3.55%),and 5 cases of twins(1.04%);34 cases of pelvis constyiction(7.10%);factors of 84 gravidas including 25 cases of cholestasis of pregnancy,21 cases of pregnancyinduced hypertension syndrome(4.38%),17 cases of advanced age primigravidas(3.55%),13 cases of scarred uteruses(2.71%),and 8 cases of pregnancies exceeding the time limit(1.67%);and social factors in 29cases(6.05%).Conclusion:Intrapartum abnormality and diseases in pregnancy are still the main contribution to rates of caesarean section,but the request of pregnancy women and subjective inclination of obstetaicians also affect the choice of labor patterns.更多还原