剖宫产率的探讨

论文编号:HL104  论文字数:10279.页数:16

论文题目：剖宫产率影响因素的探讨
 
摘　要
   目的
    探讨滁州市剖宫产率影响的主要因素,为降低剖宫产率提供依据  
   方法
 采用问卷调查法，对100名已怀孕的育龄妇女进行问卷调查，问卷内容包括年龄、孕次、产次、文化程度、家庭收入、对剖宫产知识认识程度等，以了解影响剖宫产的普遍性因素。并对滁州市2005年-2009年剖宫产产妇进行回顾性分析，以了解剖宫产产妇手术指征构成及剖宫产率的变化。
   结果
 对100名孕妇的调查，此次剖宫产率为62%，明显高于WHO推荐的15%。本次调查当中明确的手术指征行剖宫产的为22%，有40名孕妇手术为不必要的，在这100名中有30%是在孕初期就选择的，有18%是在妊娠晚期决定剖宫产的，还有52%是在住院以后因各种原因而行剖宫产的。5年来剖宫产率明显上升，2009年达到57.6%，总结剖宫产指征主要是社会因素、胎儿宫内窘迫、巨大儿、胎位异常、头盆不称、脐带绕颈、中重度妊高征、疤痕子宫等。
   结论
 产时保健是孕产期中最重要的环节，同时分娩又是保健的重中之重。调查显示剖宫产率呈现不断上升的趋势，指征主要是社会因素、胎儿因素和产妇因素，不必要的剖宫产危害了妇女和儿童的健康。所以要加强产前保健，产前宣教，提高阴道分娩技术，加强医疗队伍道德建设和医疗卫生法制建设，严格掌握剖宫主指征，降低剖宫产率。
关 键 词   剖宫产率，手术指征
论文类型   研究报告

    
Title:  Explore the influence factors of cesarean section rate

ABSTRACT
Objectives
 Discusses the influence of ChuZhou cesarean section rate section rate,for reducing cesarean section rate
Methods
 Using the method of questionnaire,100 already pregnant women of child-bearing age questionnaire,questionnaire includes at times,age, culture, and the family income,knowledge of cesarean section,In order to understand the influence factors of universality. Cesarean delivery.In chuzhou and 2005-2009cesarean delivery mothers were retrospectively analyzed,in order to understand the cesarean section puerpera surgical indications and cesarean section rate of change.
Results
 The survey of 100 women,the cesarean section rate for 62 percent,Obviously higher than WHOthe recommended by 15%,This investigation clear operation indications for 22%. Do cesarean section,40 women as unnecessary surgery,in the 100 in early in pregnancy is 30% of choice,there are 18 in the late pregnancy decision cesarean section,there are 52 in hospital and after cesarean section for various reasons.5 years cesarean section rate increased obviously,2009 57.6% reach.Summarize cesarean section primarily social factors，intrauterine fetal distress，macrosomic，taiwei abnorma，head basin does not say, umbilical cord around the，severe al.pteeclampsia,scar uterine etc.
Conclusion
 Health care is produced when were the most important link in,while the chongzhongzhi is health care delivery,Investigation shows cesarean section rate rising trend appears,indications mainly social factors,fetal factors and maternal factors.Unnecessary cesarean section endangers the health of women and children.Soto strengthen prenatal care,antenatal mission,improve vaginal delivery technology,strengthening medical ethics construction team and medical legal construction,strictly grasp the profile,reducing cesarean section rate.
KEY WORDS  Cesarean section rate,Surgical indications
TYPE OF THESIS  Investigating report
目 录

1、绪论7
1.1研究的背景和意义7
1.2研究的目的和目标7
1.2.1目的7
1.2.2目标7
1.3关键词·7
1.4文献回顾·8
2、研究设计·10
2.1研究对象10
2.2一般资料10
   2.3研究方法10
   2.4研究步骤10
3、研究结果·12
3.1孕妇的年龄、孕次、产次等与总分的相关性  ·12
3.2剖宫产率影响的因素·12
4、讨论·14
5、推论及建议16
   5.1推论·16
   5.2建议·16
6、致谢17
7、参考文献18
8、调查问卷19