摘要
目的：了解北京市剖宫产的现状、探讨剖宫产率居高不下的影响因素。方法：于2003年8～12月对北京市9所助产单位分娩的826例产妇进行问卷调查。结果：①全市医院剖宫产率为52．54％；②多因素分析显示年龄≥35岁、本市户籍、产检次数〉18次、有妊娠合并症、新生儿出生体重〉14000g、分娩意愿等剖宫产可能性大；③相对头盆不称、社会因素、胎儿宫内窘迫为前3位的剖宫产原因。结论：近年来剖宫产率有上升趋势，应加强孕产妇产前宣教，医生应合理掌握剖宫产指征，尽量减少非医学指征的剖宫产可降低剖宫产率。
Objective： In order to investigate the occurrence of cesarean section （CS） in Beijing and explore the factors related to high CS rate. Methods： The survey was carried out in 9 hospitals with obstetrics during Aug. to Dee. 2003 in Beiiing. 826 lying - in women answered the questionnaire. Results： The average rate of cesarean section was 52. 54%. The analysis showed that women who were more than 35 years old, with native Beijing census register, more than 8 times of antenatal visits, with gestation complication, over 4 000 gram birth weight, had CS trend, were more likely to have CS. The rank orders of indications for CS were as follows ： eephalopelvie disproportion, social factors, fetal distress. Conclusion： Rate of CS in the hospitals showed an increasing trend in Beijing which suggested that intervention with health education be carried out for both pregnant women and obstetricians.
出处
《中国妇幼保健》
CAS
北大核心
2007年第32期4537-4539,共3页
Maternal and Child Health Care of China
