摘要
随着剖宫产率在全球范围内的不断上升,国内外学者对目前全球剖宫产率的流行趋势和地区差异开展了许多研究.本文通过综述剖析全球剖宫产率的流行现状、差异及管理现状,分析国内外在剖宫产的实施、管理及控制无指征剖宫产的措施上的差异,总结国内外为降低剖宫产率所采取的措施和效果,探讨降低剖宫产率的管理方法.虽然目前仍无有效的管理方法可以有效降低部分中高收入国家及发展中国家居高不下的剖宫产率,但也应该严格遵循剖宫产指征及相关政策,以控制剖宫产率、增加剖宫产后阴道分娩的试产率、以及对意愿剖宫产的无指征产妇进行一定的干预,鼓励自然分娩,从而保障公共卫生安全.
With the continuous increase of the cesarean section rate in the world,scholars at home and abroad have carried out a lot of rescarches on the current global cesarean section rate trends and regional differences.This paper analyzes the prewalence,differences and management status of the global cesarean section rate through a narrative review,analyzes the differences in the implementation,management and control measures of the non fingered cesarcan section at home and abroad,summarizes the measures taken to reduce the cesarean section rate at home and abroad and their effects.and puts forward the management methods for reducing the cesarean section rate that are suitable for China at present according to the differences and results.Although there is still no effective management method that can effectively reduce the high cesarean section rate in some highrincome countries and developing countries,the indications and relevant policies of the cesarean section should also be strictly followed to control the cesarean section rate,should increase the trial birth rate of vaginal delivery after cesarean section,and carry out certain intervention for the women who wish to cesarean section without any indicator,and encourage the natural delivery of the womcn,so as to ensure the public health safety.
作者
刘紫馨
周钰琼
李健
LIU Zixin;ZHOU Yuqiong;LI Jian(The Third Xiangya Hospitol,Central South University,Changsha,410013;Hunan Normal University)
出处
《中国计划生育学杂志》
2024年第1期248-252,共5页
Chinese Journal of Family Planning
关键词
剖宫产
剖宫产流行趋势
剖宫产现状
剖宫产管理
Cesarean section
Epidemic trend of cesarcan section
Current situation of cesarean section
Cesarean section management
