社会因素剖宫产原因浅析及预防措施.docVIP

社会因素剖宫产原因浅析及预防措施 　　[摘要] 目的 探讨和分析社会性因素对剖宫产率的影响和预防措施。 方法 回顾性分析在本院分娩的产妇704例的资料，在产妇入院后与产妇或其家属进行沟通交流，总结和归纳选择该分娩方式的原因。 结果 704例产妇中有528例产妇（75.0%）进行了剖宫产分娩手术，而528例产妇中，仅有193例（36.6%）产妇符合剖宫产手术指征，大部分产妇[335例（63.4%）]因为社会性因素选择剖宫产。降低剖宫产率的方法包括完善围生期的保健工作，提高护士助产水平，提高产科医生责任感和加强行业自律。 结论 剖宫产率的逐渐升高不但与围生医学技术水平的进步有关，更主要的原因是诸多社会性因素。 　　[关键词] 社会因素；剖宫产；预防措施 　　[中图分类号] R719.8 [文献标识码] B [文章编号] 1674-4721（2013）11（a）-0166-02 　　Cause analysis of social factors on cesarean and its preventive measures 　　HU Shou-mei 　　The Fifth People′s Hospital of Xinghua City in Jiangsu Province，Xinghua 225766，China 　　[Abstract] Objective To explore and analyze the influence of social factors on cesarean section rate and put forward its preventive measures.Methods Clinical data from 704 puerperae given birth in our hospital were retrospectively analyzed.After being admitted into our hospital，they or their relatives were conducted a communication in order to sum up and induce reasons why they chose cesarean section.Results 528 cases out of 704 puerperae underwent cesarean section，accounted for 75.0%.Among these 528 cases，only 193 puerperae （36.6%） conformed to the indications of cesarean section，and the rest chose cesarean section due to social factors.Methods to reduce cesarean section rate contained bettering health care at perinatal stage，enhancing delivery levels of nurses，improving the responsibilities of obstetricians，and strengthening the self-regulation in medical field.Conclusion The gradual increase of cesarean section rate is not only associated with the progress of technical levels in prenatal medicine，but the more important reason is that it involves numerous social factors. 　　[Key words] Social factor；Cesarean section；Preventive measure 　　近几年来，越多越多的产妇选择剖宫产分娩方式，统计数字显示，中国平均剖宫产率接近50%，个别医院甚至超过了80%，远远高于世界卫生组织推荐的15%的上限[1-3]。一些产妇的错误观念、医院方面的某些倾向性，推动了剖宫产率的不正常攀升，剖宫产率的逐渐升高不但与围生医学技术水平的进步有关，更主要的原因是诸多社会性因素[4]，为了探讨和分析社会性因素对剖宫产率的影响和预防措施，本研究回顾性总结在本院分娩的704例产妇的资料，现报道如下。 　　1资料与方法 　　1.1 临床资料 　　本研究对象来自2012年1～12月在本