[1]曹奕,杨相玲,王正琳,等.重庆市2010-2020年剖宫产率现况及其影响因素分析[J].陆军军医大学学报(原第三军医大学学报),2021,43(22):2495-2498.
 CAO Yi,YANG Xiangling,WANG Zhenglin,et al.Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020 [J].J Amry Med Univ (J Third Mil Med Univ),2021,43(22):2495-2498.
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重庆市2010-2020年剖宫产率现况及其影响因素分析(/HTML )
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陆军军医大学学报(原第三军医大学学报)[ISSN:1000-5404/CN:51-1095/R]

卷:
43卷
期数:
2021年第22期
页码:
2495-2498
栏目:
公共卫生与预防医学
出版日期:
2021-11-30

文章信息/Info

Title:
Rate of cesarean section and its influencing factors in Chongqing during 2010 and 2020
 
作者:
曹奕杨相玲王正琳周晓军
重庆市妇幼保健院群体保健工作办公室;重庆市卫生健康委员会妇幼健康服务处
Author(s):
CAO Yi1 YANG Xiangling2 WANG Zhenglin1 ZHOU Xiaojun
Office of Population Healthcare Affairs, Chongqing Health Center for Women and Children, Chongqing, 400013; 2Service Office for Maternal and Child Health, Chongqing Health Commission, Chongqing, 401147, China
 
关键词:
剖宫产率影响因素孕产期保健现况调查
Keywords:
 
分类号:
R195.1; R719.8
文献标志码:
A
摘要:

目的分析重庆市2010-2020年剖宫产率现状及其影响因素。 方法采用全面调查的方法,利用2010-2020年《重庆市产科质量调查表》以及出生医学证明数据,以全市提供助产服务的医疗卫生机构为研究对象,进行产妇分娩方式选择情况及其影响因素的现况调查。结果2020年全市剖宫产率为47.59%,较2019年小幅上升0.15%;首次剖宫产率43.30%,较2019年上升2.29%;非医学指征剖宫产比例为13.20%,较2019年上升19.03%。全市35岁及以上产妇剖宫产率65.85%,远高于18岁以下产妇剖宫产率(25.91%)及18~34岁产妇剖宫产率(45.61%)。全市民营医疗机构剖宫产率为51.83%,高于公立一级医疗机构(31.69%)、二级医疗机构(46.11%)、三级医疗机构(50.50%)以及厂矿医疗机构(44.75%)剖宫产率。2020年,全市有医学指征的剖宫产中,因瘢痕子宫剖宫产的比例最高(45.57%),其次为高龄产妇(9.73%)、胎儿窘迫(8.78%)、妊娠巨大儿(6.67%)、胎位异常(6.43%)。结论瘢痕子宫、高龄产妇(年龄≥35岁)、妊娠期严重合并症和并发症、妊娠巨大儿、胎儿窘迫等因素均在剖宫产指征中占有较大比例,严重影响全市剖宫产率的控制。民营机构剖宫产率、首次分娩剖宫产率以及非医学指征剖宫产比例均远高于其他类别助产机构。

Abstract:

ObjectiveTo analyze the rate of cesarean section and its influencing factors in Chongqing from 2010 to 2020. MethodsA comprehensive survey was adopted based on the Chongqing Obstetrics Quality Questionnaire and the data of birth medical certificate with medical and health institutions which providing midwifery services as the research objects to investigate the current situation of maternal delivery mode selection in the period. ResultsIn 2020, the cesarean section rate of the whole city was 47.59%, with a slight increase of 0.15% compared with that in 2019. The cesarean section rate of first delivery was 43.30%, with 2.29% higher than that in 2019. The proportion of cesarean section without medical indications was 13.20%, which was 19.03% higher than that in 2019. The cesarean section rate was 65.85% for women over 35 years old, which was much higher than that of women under 18 years old (25.91%) and women between 18 and 34 years old (45.61%). The cesarean section rate of private institutions was 51.83%, higher than that of primary institutions (31.69%), secondary institutions (46.11%), tertiary institutions (50.50%) and medical institutions in factories (44.75%). In 2020, the proportion of cesarean section with scarred uterus was the highest (45.57%), followed by elder women (9.73%), fetal distress (8.78%), pregnancy macrosomia (6.67%) and abnormal fetal position (6.43%). ConclusionScar uterus, elderly women (age ≥35 years), severe complications during pregnancy, macrosomia, fetal distress occupy a large proportion in the indications of cesarean section, which seriously affects the decline of the cesarean section rate. The cesarean section rate, cesarean section rate of first delivery and proportion of cesarean section without medical indications are far higher in private institutions than those of other types of midwifery institutions.

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更新日期/Last Update: 2021-11-23