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目的:探讨近10年不同人群剖宫产率及其变化,为降低剖宫产率、提高产科质量提出切实可行的干预措施。方法:选择2008年在该院住院分娩且有完整记录产妇。对其分娩资料进行回顾性分析,并与1998年进行比较,观察两组产妇剖宫产率及其变化;观察两组特殊人群情况变化与剖宫产率的变化。结果:2008年组产妇总剖宫产率明显降低;但产妇急诊剖宫产率明显升高,差异均有统计学意义(P<0.01)。2008年组产妇外市人口比例明显增加;经产妇比例明显升高;前次剖宫产、过期妊娠产妇比例明显升高,差异均有统计学意义(P<0.01)。2008年组本市人口产妇剖宫产率明显升高,差异有统计学意义(P<0.01);经产妇剖宫产率明显降低,差异有统计学意义(P<0.05);过期产剖宫产率明显降低,差异有统计学意义(P<0.05)。结论:2008年组产妇总剖宫产率有所下降,与经产妇增加及其剖宫产率下降有关。本市人口产妇剖宫产率明显增高,应引起全社会重视。孕妇学校须加强宣传,争取有效减低剖宫产率。2008年外市人口产妇增加,无产前检查以及急诊剖宫产增加,增大了产科风险。加强外来孕产妇产前检查与产前宣传教育,可以有效保证母婴安全。
Objective: To investigate cesarean section rate and its changes in different population in recent 10 years, and to put forward feasible intervention measures to reduce cesarean section rate and improve obstetrical quality. Methods: We chose to give birth in hospital in 2008 and have a complete record of maternal. The data of delivery were retrospectively analyzed and compared with 1998 to observe the cesarean section rate and its changes in the two groups. The change of cesarean section rate and the changes of special population in the two groups were observed. Results: The total maternal cesarean section rate in 2008 was significantly lower; however, the maternal cesarean section rate was significantly higher (P <0.01). In 2008, the proportion of maternal and child population increased significantly; the proportion of mothers increased significantly; the proportion of maternal women who had cesarean section and overdue pregnancy was significantly increased (P <0.01). In 2008, the cesarean section rate of the population in Kunming city was significantly higher (P <0.01), and the cesarean section rate was significantly lower (P <0.05); the cesarean section The yield was significantly reduced, the difference was statistically significant (P <0.05). Conclusion: The total maternal cesarean section rate decreased in 2008, which was related to the increase of maternal and the decline of cesarean section rate. Cesarean section rate of maternal population in our city is obviously higher, which should arouse the attention of the whole society. Pregnant women schools should step up publicity, strive to effectively reduce the cesarean section rate. In 2008, the increase in the number of pregnant women outside the city, the increase in emergency antenatal exams and cesarean section, and the increase in obstetric risks. Strengthen the prenatal care of prenatal care and prenatal care and education, can effectively ensure the safety of mother and child.