王临虹 赵更力 鲍月琴 周敏 渠川琰 (100034 北京医科大学第一医院妇产科妇儿保健中心) 中华围产医学杂志 1998 0 1 1


    关键词：剖宫产术；产次 期刊 zhwcyxzz 0 论 著 fur -->


    

【摘要】 目的 从初产妇剖宫产率和适应证的变化中，探讨剖宫产率升高的原因。 方法 抽样选择1970～1995年25年初产妇剖宫产病例562例，比较及分析其剖宫产率及适应证的变化。 结果 初产妇剖宫产率自80年代逐年上升。在剖宫产适应证中，难产因素比例逐年下降，胎儿因素比例逐年上升；新生儿出生体重的增加和产妇年龄的增大也是影响初产妇剖宫产率增高的原因。 结论 初产妇增多并不是引起剖宫产率增高的主要原因。应加强孕产期保健，鼓励产妇阴道分娩，严格掌握剖宫产指征。

    An Analysis on Changing Trend of Primiparaous Cesarean Section Rates and Indications in 25Years Wang Linhong,Zhao Gengli,Qu Chuanyan,et al.First Teaching Hospital,Beijing Medical University,Beijing 100034

    【Abstract】 Objective To investigate the changing trend of primiparaous cesarean section rates and indications,and to analyze the causes of increasing cesarean section rates. Method A total of 562 cases of primiparae cesarean section was selected sample in 25 years from 1970 to 1995,and was analyzed for changing in cesarean section rates and indications. Results The primiparaous cesarean section rates increased since 1980s.As for the indication,the ratio of dystosia factor was decreased and fetal distress was increased.The growing birth weight of newborn and advancing maternal age were also the influencing factors to elevate cesarean section rate. Conclusion The increase of primiparae is not the main cause of high cesarean section rate.We should strengthen maternal health care,encourage spontaneous vaginal delivery and control the indications for cesarean section.

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