摘要
目的:总结江苏省4县为控制剖宫产率采取的政策与经济措施,并分析其成效,为控制剖宫产率提供可推广的经验方法。方法:对2009—2013年江苏省4县的住院自然分娩人数和剖宫产病例进行分析,比较剖宫产率的变化情况、孕产妇和新生儿死亡情况、剖宫产指征变化情况。结果:5年间4县平均剖宫产率呈逐年下降趋势,从2009年的60.2%下降至2013年的48.1%。结论:干预措施有效,但发挥作用有限,应加强社会各方对干预措施的重视程度,建立监督考评机制,规范接产医院医疗行为,加强助产技术培训,在政府部门配合下进行干预措施的推广。
Objective：To explore the propagable experience and methods of controlling the rate of cesarean sec- tion through the summary of the innovative measures in four counties. Methods ： The cases of natural birth and cesare- an section from 2009 to 2013 in four counties were analyzed respectively. The interventions of controlling cesarean section rate have been summarized. Results ： The average cesarean section rate of four counties in five years is on the decline, since 2009 the rate were 60. 2% ,62.3% ,59.3% ,51.4% ,48.1%. Conclusions： The interventions really worked, but did not do the best. Improving the social attention on these innovative measures, strengthening surveil- lance mechanism, regulating the medical behaviors of delivery hospitals, enhancing the midwifery training and promo- ting the interventions under the coordination of local government can further reduce the rate of cesarean section.
出处
《中国卫生政策研究》
CSCD
北大核心
2015年第6期62-67,共6页
Chinese Journal of Health Policy
基金
世界银行贷款/英国政府赠款"中国农村卫生发展项目"(7551-CN)
关键词
剖宫产率
政策
母婴健康
效果研究
Cesarean section rate
Policy
Maternal and child health
Effect study
