“二胎”政策实施前后剖宫产情况变化研究(1)
摘要：目的 探讨“单独二胎”、“全面二胎”政策实施前后剖宫产情况的变化。方法 选择2013年3月～2014年2月在本院分娩的共3474例产妇，为二胎政策前A组； 2014年3月～2015年2月为单独二胎政策后在本院分娩的共4015例产妇，为单独二胎政策后B组；2016年3月～2017年2月在本院分娩的共4315例产妇，为全面二胎政策后C组，对其分娩情况进行回顾性分析，观察剖宫产率和剖宫产指征的变化。结果 “单独二胎”和“全面二胎”政策后剖宫产率均较政策前明顯下降(53.14% vs 44.18%，P<0.05；53.14% vs 42.36%，P<0.05)，尤其是初产妇的剖宫产率下降显著(53.78% vs 43.43%，P<0.05；53.78% vs 39.62%，P<0.05；43.43% vs 39.62%，P<0.05)，而经产妇的剖宫产率在政策前后比较差异无显著性。剖宫产适应症中，社会因素所占比例显著下降(14.35% vs 11.44%，P<0.05；14.35% vs5.80%，P<0.05；11.44% vs5.80%，P<0.05)；母体因素所占比例显著升高(24.16% vs 29.65%；29.65% vs 40.01%，P均<0.05)。结论 “二胎”政策的实施对人们的生育观念产生了一定的影响，从而影响了人们分娩方式的选择，降低了初产妇的剖宫产率，借机该政策的实施，全社会共同努力，进一步控制剖宫产率，促进自然分娩，促进母婴健康。
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关键词：剖宫产率；剖宫产指征；“单独二胎”政策；“全面放开二胎”政策
中图分类号：R169 文献标识码：A 文章编号：1006-1959(2017)26-0057-03
Abstract：Objective To explore the changes of cesarean section before and after the implementation of the"second single child"and"comprehensive child"policies.Methods A total of 3474 mothers who gave birth in our hospital from March 2013 to February 2014 were selected as group A before second child policy.In March 2014 ～2015 year in February as a separate two-child policy after a total of 4015 cases of maternal in our hospital，as a separate two-child policy after B group；March 2016 ～2017 year in February a total of 4315 cases of maternal in our hospital，for the comprehensive two-child policy after C group，on the condition of delivery were analyzed retrospectively，observation of cesarean section and cesarean section sarean indication changes.Results "Second child alone"and"comprehensive child policy after cesarean section were significantly decreased before the policy (53.14%vs44.18%，P<0.05；53.14%vs42.36%，P<0.05)，especially at the beginning of the cesarean section rate decreased significantly(53.78%vs 43.43%，P<0.05；53.78%vs39.62%，P<0.05；43.43%；vs39.62%，P<0.05)，but no significant difference between before and after the policy after the cesarean section rate in cesarean section indications， the social factors accounted for ratio decreased significantly(14.35%vs11.44%，P<0.05；14.35%vs5.80%，P<0.05； 11.44%vs5.80%，P<0.05)；accounted for a significantly higher proportion of maternal factors (24.16%vs29.65%；29.65%vs40.01%，P< 0.05).Conclusion The implementation of"two child"policy has a certain influence on the concept of fertility，which affects people choose the way of delivery，reduce maternal cesarean section，to the policy.The whole society should make joint efforts to further control the cesarean section rate， promote natural childbirth， and promote maternal and child health., 百拇医药(郑江丽 鲍春玉 冷雯)
, http://www.100md.com
关键词：剖宫产率；剖宫产指征；“单独二胎”政策；“全面放开二胎”政策
中图分类号：R169 文献标识码：A 文章编号：1006-1959(2017)26-0057-03
Abstract：Objective To explore the changes of cesarean section before and after the implementation of the"second single child"and"comprehensive child"policies.Methods A total of 3474 mothers who gave birth in our hospital from March 2013 to February 2014 were selected as group A before second child policy.In March 2014 ～2015 year in February as a separate two-child policy after a total of 4015 cases of maternal in our hospital，as a separate two-child policy after B group；March 2016 ～2017 year in February a total of 4315 cases of maternal in our hospital，for the comprehensive two-child policy after C group，on the condition of delivery were analyzed retrospectively，observation of cesarean section and cesarean section sarean indication changes.Results "Second child alone"and"comprehensive child policy after cesarean section were significantly decreased before the policy (53.14%vs44.18%，P<0.05；53.14%vs42.36%，P<0.05)，especially at the beginning of the cesarean section rate decreased significantly(53.78%vs 43.43%，P<0.05；53.78%vs39.62%，P<0.05；43.43%；vs39.62%，P<0.05)，but no significant difference between before and after the policy after the cesarean section rate in cesarean section indications， the social factors accounted for ratio decreased significantly(14.35%vs11.44%，P<0.05；14.35%vs5.80%，P<0.05； 11.44%vs5.80%，P<0.05)；accounted for a significantly higher proportion of maternal factors (24.16%vs29.65%；29.65%vs40.01%，P< 0.05).Conclusion The implementation of"two child"policy has a certain influence on the concept of fertility，which affects people choose the way of delivery，reduce maternal cesarean section，to the policy.The whole society should make joint efforts to further control the cesarean section rate， promote natural childbirth， and promote maternal and child health., 百拇医药(郑江丽 鲍春玉 冷雯)