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目的:探讨剖宫产的相关影响因素,为采取针对性降低剖宫产率的对策提供依据。方法:采用回顾性资料分析方法对仙桃市第一人民医院2005~2009年的1 298例剖宫产产妇采取随机抽样调查,每年抽取152例,共抽取760例。结果:2005~2009年剖宫产率逐年上升,影响因素依次为头盆因素(24.6%),社会心理因素(23.6%),产妇因素(20.1%),胎儿因素(17.9%),宫内因素(13.8%)。其中前4位主要原因为相对头盆不称(21.3%),胎儿窘迫(11.4%),妊娠合并症/并发症(9.5%),担心母婴安全(8.6%)。结论:产妇剖宫产率呈上升趋势,加强产前宣教和孕产期保健,减少社会心理因素干扰是降低剖宫产率的针对性有效措施。
Objective: To investigate the related factors of cesarean section and provide evidence for the purpose of reducing the rate of cesarean section. Methods: A retrospective data analysis method was used to survey 1 298 cesarean section mothers in First People’s Hospital of Xiantao from 2005 to 2009, taking 152 cases each year and taking a total of 760 cases. Results: The rate of cesarean section increased year by year from 2005 to 2009, and the influencing factors were: cephalic factor (24.6%), psychosocial factor (23.6%), maternal factor (20.1%), fetal factor (17.9%), intrauterine factor (13.8%). Among them, the top four were related to underexposure (21.3%), fetal distress (11.4%), pregnancy complications / complications (9.5%), and concern about maternal and child safety (8.6%). Conclusion: The rate of cesarean section in pregnant women is on the rise. To strengthen prenatal mission and maternal health care and to reduce the interference of social and psychological factors are the effective measures to reduce the rate of cesarean section.