国际妇产科学杂志

国际妇产科学杂志 ›› 2015, Vol. 42 ›› Issue (3): 339-341.

• 综述 • 上一篇    下一篇

国内外剖宫产现状及原因分析

韩代花，何新蓉，梁裕杰，黄芳，王洋，李红英   

  1. 610200 四川省成都市双流县妇幼保健院（韩代花，何新蓉，梁裕杰，黄芳，王洋）；四川省南充市蓬安县人民医院（李红英）
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-06-15 发布日期:2015-06-15
  • 通讯作者: 何新蓉

The Status and Cause Analysis of Caesarean Section

HAN Dai-hua，HE Xin-rong，LIANG Yu-jie，HUANG Fang，WANG Yang，LI Hong-ying   

  1. The Maternal and Child Health Hospital of ShuangLiu，Chengdu 610200，China（HAN Dai-hua，HE Xin-rong，LIANG Yu-jie，HUANG Fang，WANG Yang）；Peng′an People′s Hospital，Nanchong 637000，Sichuan Province，China（LI Hong-ying）
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-06-15 Online:2015-06-15
  • Contact: HE Xin-rong

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摘要： 随着剖宫产技术的成熟、抗菌药物的应用以及麻醉和监测能力的提高，剖宫产手术的安全性显著提高，为解决妊娠合并症和并发症、降低母婴死亡率起到了积极的作用。但过高的剖宫产率又为产科质量带来隐患，增加了不良结局的风险。目前剖宫产率的增高已是全世界面临的共同问题，在我国尤为突出。综述国内外剖宫产现状，探讨影响剖宫产率的因素，指出剖产率的增高不再是单纯的医学问题，社会因素也起着越来越重要的作用，只有通过医务人员和社会的共同努力，才能有效地降低剖宫产率，保障母婴健康。

关键词: 剖宫产术, 妊娠并发症, 婴儿死亡率, 社会学, 医学

Abstract: With the maturity of the technology of caesarean section，the application of the antibacterials and the improvement of the ability of anesthesia and monitoring，the safety of caesarean section has greatly improved. The caesarean section has played a positive role in solving pregnancy complications and reducing the child and maternal mortality. But on the other hand，the high rate of caesarean section has brought the hidden troubles，increased the risks of adverse pregnancy outcomes，which also has become the problem that the whole world should face together,especially in China. In reaction to the phenomenon，this paper analyses the status of caesarean section at home and abroad，summarizes the effect factors，and points out the primary causes which lead to increase the rate of caesarean section are not only the medical factor but also the social factor. The latter has played the increasingly important role in the high rate of caesarean section. Only by the joint efforts of medical staff and society can reduce the rate of caesarean section effectively，guarantee health and safe of the mother and infant.

Key words: Cesarean section, Pregnancy complications, Infant mortality, Sociology, medical