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目的探讨如何降低社会因素的剖宫产率。方法对本院3年来的剖宫率变化及其主要并发症新生儿窒息和产后出血进行了回顾性分析。结果剖宫产率逐年上升,社会因素剖宫产率占有较高的比例,上升速度迅速,年间比较差异有统计学意义(P<0.01),所发生的新生儿窒息率无明显下降,产后出血却相应增加,2003年和2001年比较差异有统计学意义(P<0.05),给许多孕产妇造成了一定程度的医源性痛苦。结论控制社会因素的剖宫产率迫在眉睫,呼吁全社会关注,医患双方共同努力,将剖宫产率控制在一个合理的范围内。
Objective To explore how to reduce the cesarean section rate of social factors. Methods The retrospective analysis of cesarean section rate changes and the main complications of neonatal asphyxia and postpartum hemorrhage in our hospital over the past three years were retrospectively analyzed. Results The rate of cesarean section increased year by year. The rate of cesarean section was higher in social factors, and the rate of cesarean section was higher. The difference was statistically significant in the years (P <0.01). The incidence of neonatal asphyxia did not decrease obviously, and postpartum hemorrhage But increased accordingly. The difference between 2003 and 2001 was statistically significant (P <0.05), causing some iatrogenic pain to many pregnant women. Conclusion The rate of cesarean section control of social factors is imminent, calling the attention of the whole society, both doctors and patients work together to control the cesarean section rate within a reasonable range.