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近年剖腹产率不论国内外都有逐年增加的趋势,主要因素是胎儿指征,且是以胎儿窘迫为主,由于胎儿指征扩大,对胎儿预后有所改善,但也由于对胎儿过度重视,不可否认有医学以外的社会性指征,而致剖腹产率上升.本文对日本国立仙台病院过去7年间分娩总数6,404例中剖腹产525例的指征进行统计观察.剖腹产率为8.2%,1978年最低(5.1%),1982年为10.9%.以主要单一指征分析,以头盆不称(CPD)最多,占22.3%,胎儿窘迫11.2%,先兆子宫破裂10.1%.前次剖腹产9.7%.胎势异常8.4%,胎盘异常7.4%.实际指征多为两项以上,以前次剖腹产最多占29.5%,其次为CPD
Cesarean section rate in recent years, both at home and abroad have increased year by year trend, the main factor is fetal indications, and fetal distress based, due to the expansion of fetal indications, the prognosis of the fetus has improved, but also due to excessive attention to the fetus, not because of the fetus Denied the existence of social indications other than medicine, which led to caesarean section rate rise.This paper on the Japanese national Sendai Hospital in the past 7 years, the total number of 6,404 cases of caesarean section 525 cases were observed.Cesarean section rate was 8.2%, the lowest in 1978 ( 5.1%) in 1982 and 10.9% in 1982. According to the analysis of the main single indications, the highest incidence of CPD (22.3%), fetal distress (11.2%) and premarital uterine rupture (10.1%) and the previous cesarean section (9.7% Abnormal 8.4%, abnormal placenta 7.4% .The actual indications for more than two, the previous caesarean section up to 29.5%, followed by CPD