论文部分内容阅读
目的:探讨萍乡市产妇剖宫产原因及主要影响因素,制订相应干预措施,降低剖宫产率。方法:调查萍乡市2011年7~9月产妇剖宫产情况。结果:全市2011年7~9月共分娩6 031例,剖宫产2 478例,剖宫产率41.09%。剖宫产原因:剖宫产史高居榜首占总数的31.03%(769/2 478),社会因素占18.36%(455/2 478),农村孕产妇剖宫产占78.4%(1 943/2478),初产妇剖宫产占54.04%(1 339/2 478)。结论:降低剖宫产率关键是严格掌握剖宫产指征,推广无痛阴道分娩术,为产妇提供自然分娩心理和医疗的支持,把心理咨询、测试和干预纳入妇幼保健工作之中。
Objective: To investigate the causes and main influential factors of cesarean section in Pingxiang and to make corresponding interventions to reduce the rate of cesarean section. Methods: To investigate the situation of cesarean section in Pingxiang from July to September in 2011. Results: There were 6 031 cases of childbirth, 2 478 cases of cesarean section and 41.09% of cesarean section from July to September in 2011. Causes of cesarean section: cesarean section topped the list of the total number of 31.03% (769/2 478), social factors accounted for 18.36% (455/2 478), rural maternity cesarean section accounted for 78.4% (1 943/2478) , Primipara cesarean section accounted for 54.04% (1 339/2 478). CONCLUSIONS: The key to reducing cesarean section rate is to strictly monitor indications of cesarean section, promote painless vaginal delivery, provide psychological support for maternity and medical support, and incorporate psychological counseling, testing and intervention into maternal and child health care.