摘要
目的 探讨 1997年初至 1998年末剖宫产指征的掌握情况。方法 对 3475例剖宫产病例进行回顾性分析。结果 剖宫产率为 45 2 %。主要指征依次为 :妊娠并发症 (36 6 % )、胎儿窘迫 (2 2 6 % )、妊娠合并症(13 5 % )、巨大儿 (10 2 % )、珍贵儿 (9 8% )、臀位 (9 8% )、高龄初产 (9 1% ) ,其中巨大儿的诊断符合率 6 2 3 % ,5 6 %的妊高征孕妇选择了剖宫产 ,轻度妊高征占总数的 37 6 %。新生儿发病率和病死率分别为 13 6 %和 1 1‰。结论 必须提高医务人员对剖宫产的认识 ,使之正确掌握剖宫产指征 。
Objective To discuss the indications for cesarean section in our hospital in recent years.Methods We retrospectively studied the indications for cesarean section of 3475 cases in our hospital.Results The average rate of cesarean section was 45 2%.The order of indications were as following:pregnancy complications(36 6%),fetal distress(22 6%), preexisting disease in pregnancy(13 5%),fetal macrosomia(10 2%),precious baby(9 8%),breech presentation(9 8%) and older primiparae(9 1%).The main indications were further analyzed whether they were performed properly.56% pregnant women with pregnancy induced hypertension were selected to be performed cesarean section,among whom mild type accounted for 37 6%.The correct rate in the diagnosis of fetal macrosomia was 62 3%.Neonatal morbidity and mortality was 13 6% and 1 1‰,respectively.Conclusion Obstetric medical staff should improve their opinion on the cesarean section and master the indications appropriately.Effective accompanied delivery and pain relief in labor should also be provided.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2000年第5期281-283,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
剖腹产
发生率
手术指征
Cesarean section Incidence Indication
