Title: Retrospective analysis on the indications of cesarean section from 2000 to 2009
Abstract: Objective:To analyze the change of indications of cesarean section,explore the causes of high cesarean section rate and the feasible measures to reduce cesarean section rate.Methods:The medical data of 8 888 hospitalized cases who underwent cesarean section in the hospital from January first,2000 to December 31st,2009 were analyzed retrospectively.Results:Among the proportions of indications of cesarean section,social factor ranked the first,followed by fetal distress,cephalopelvic disproportion,scar uterus,and breech presentation,and so on.From 2000 to 2009,cesarean section rate induced by social factor increased rapidly,the proportions among three stages of indications of cesarean section were 8.2%,54.37%,and 37.6%,respectively.During the third stage,the proportion of cesarean section induced by social factor decreased significantly(P0.01),which was the main reason of decrease of cesarean section rate(P0.01),but it still maintained at a relatively high level.From 2000 to 2009,the proportion of scar uterus among the indications of cesarean section showed an increasing trend year by year(P0.05 or P0.01).There was no significant difference in perinatal mortality(P0.05).Conclusion:The key points to reduce cesarean section rate are grasping the indications of cesarean section,improving the quality of obstetric department and technical level of vaginal midwifery,enhancing gestational health care and health education,improving the cognition of persons about complications of cesarean section,reducing the cesarean section rate induced by social factor.Cesarean section rate reduces perinatal mortality in a certain range,but perinatal mortality doesn't decrease with the increase of cesarean section rate.Thus,the indications of cesarean section should be mastered reasonably and the rate of cesarean section should be reduced.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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