经产妇剖宫产手术率上升因素的探讨及费用对比.pdfVIP

第17卷 第1期 菏泽医学专科学校学报 VOL.17 NO.1 2005年 JOURNAL OF HEZE MEDICAL COLLEGE 2005 经产妇剖宫产手术率上升因素的探讨及费用对比 马宏莉 (梁山县人民医院，山东 梁山 272600) 摘要: 目的 探讨经产妇剖宫产手术率上升的原因。方法 回顾总结分析580例经产妇剖宫产的临床 资料。结果 580例剖宫产占同期本院经产妇总数的59 ，占同期剖宫产总数的19.5%,剖宫产率与孕周的 大小，距前次分娩时间呈正相关。手术指征分布以临产前居多，占67.5%，而临产后占32.5%，说明大部分病 例没有经过试产。剖宫产上升的原因:经产妇年龄较大，距前次分娩时间长，临床医生过分依赖B超诊断，不 愿试产担风险，社会因素比例愈来愈大。结论 合理掌握剖宫产指征，减少社会干预，避免各种暗示及误导，开 展无痛分娩，鼓励产妇经阴道分娩，同时可节约费用。 关键词: 经产妇;剖宫产;分娩方式 中图分类号:R719.8 文献标识码:A 文章编号:1008-4118(2005)01一0031一03 TheExploryandCostCompavisonofMcreasingCauseofCesareenSectionintheMultipara MAHong一1i (LiangshanCountyPeople’:Hospital,Liangshan272600,China) Abstract:Objective Toexplorethecausesthattherateofcesareansectionwasincreasinginthemultipart.Methods The finicalinformationof580multiparaswereanalyzed.Results Cesareansectioncasesofmultiparasaccountfor59%ofallmultiparas， 19.5%ofallcesareansectioncasesinthesametime.Therateofcesareansectionwasdirectlyproportionaltothepregnant.ageandthe timeawaylastdelivery.Distributionoftheoperativeindicationwasprominentbeforeenteringdeliveryprocesses.accountfor67.5 . but32.5%afterenteringdeliveryprocesses，whichindicatedmostmaternitiesdidnttried+deliverThecausesofincreasingcesarean sectionwerethatageofmultipartwasolder,andthetimewaslongerawayprecedingdelivery,obstetricianrelyonalfrasonographyover- lyandwouldnottookthedangeroftryingchildbirth.Thechoiceofdeliverymethodswasinfluencedbythesocialfactormoreandmore .Conclusion Theobstetriciansshouldmastertheindicationsofcesareanssectionstrictly,decreasesocialinterference,avoidvariousin- timatingandmisleading,anddeveloppainlesschildbirth,encourageandsupportthematernitytodeliverbythevagina.Atthesametime wecansavesomemoneyo Keywords: Multipart;Cesareansection;Labor