摘要
目的探讨妊娠并发症、合并症、出生缺陷、剖宫产率增高的根源。方法回顾性分析笔者所在医院2007年11月～2009年11月住院分娩2062例产妇:(1)产前规范化检查与随意性检查两者妊娠结果情况;(2)十二年前后分娩方式及剖宫产指征的变化和首位指征的瘢痕子宫再次分娩方式主要决策者情况;(3)高危产妇产前筛查、产前诊断、遗传咨询情况。结果 (1)规范化产检率明显低于随意性产检率。随意性产检剖宫产率、妊娠并发症合并症率又明显高于规范化产检者,二组比较有统计学差异(P<0.05);(2)十二年前后剖宫产率由28.74%增为50.34%,阴道分娩率由71.26%降为49.66%,剖宫产指征由前三位以后的瘢痕子宫、社会因素,升为前一二位,且二者多是人为因素所致;(3)产前筛查、产前诊断、遗咨询传率极低。结论产前规范化检查率低,产时没严格掌握剖宫产指征,是导致高危妊娠率、剖宫产率增高的根源。
Objective To study the complications of pregnancy, complications, fetal birth defects, the root causes of cesarean section rate increased. Methods From november 2007 to november 2009, to retrospectively analyze hospital deliveries in 2062 eases in our hospital ： （ 1 ） Prenatal normalization checking and random checks of the two pregnancy outcomes. （2） Twelve years ago after the delivery method and indications for cesarean section uterine scar changes and the first mode of re - delivery of key decision makers. （3）High -risk prenatal screening, prenatal diagnosis, prenatal consultation situation. Results （ 1 ） Standardized check - ups was significantly lower than the rate of random check - ups. Random check - cesarean section rate, pregnancy complications was significantly higher than the rate of complications standardized check - ups who have more significant difference between the two groups （ P 〈 0.01 ）. （2） Twelve years before and after the cesarean section rate increased from 28.78% to 50.34%, vaginal delivery rate fell to 49.66 percent from 71.26 percent. Indications for cesarean section scar from the top three after the uterus, social factors, was promoted to the former 12, and two more man - made factors. （3） Prenatal screening, prenatal diagnosis and prenatal advice was negligible. Conclusion The low rate of Standardized prenatal visit,and that indications for cesarean section did not strictly control,leaded to the root causes of high - risk pregnancy and cesarean section rate increased.
出处
《中国医学创新》
CAS
2010年第20期11-13,共3页
Medical Innovation of China
关键词
产检
规范化
高危妊娠率
剖宫产率
Prenatal visit
Standardized
High -risk pregnancy rate
Cesarean section rate
