标题：张家口市某二级医院2005-2012年孕产妇分娩方式现状调查

      作者：王 丽 1，任雁林 2，曹慧兰 2，杨春芳 3
    (1.涿鹿县人口和计划生育局技术服务站，河北 涿鹿 075600；
2.河北北方学院附属第一医院，河北 张家口 075000；
3.万全县人口和计划生育局技术服务站，河北 万全 076250)

      卷次： 2014年25卷1期

      【摘要】 目的 分析近年来孕产妇的分娩方式、剖宫产指征及影响因素。方法 对2005年1月1日至2012
年12月31日入住我院的2 450例晚期妊娠孕产妇的分娩方式的临床资料进行回顾性分析。结果 剖宫产率呈
现出逐年上升的发展趋势，产钳以及胎吸助产数呈现明显下降；剖宫产指征构成比依次由胎儿窘迫、产程异常、
头盆不称、妊娠期高血压疾病等变为无指征、胎儿窘迫、瘢痕子宫、头盆不称等。结论 无指征剖宫产、高剖宫率
与医患双方存在一定的关系，降低以社会因素为指征的剖宫产势在必行。

      【关键词】 剖宫产；指征；晚期妊娠；分娩方式；影响因素

      【中图分类号】 R195 【文献标识码】 D 【文章编号】 1003—6350（2014）01—0129—02


Investigation on the mode of delivery in a classⅡ hospital of Zhangjiakou from 2005 to 2012.
WANG Li 1, REN
Yan-lin 2, CAO Hui-lan 2, YANG Chun-fang 3. 1. Technical Service Station, Population and Family Planning Bureau of
Zhuolu County, Zhuolu 075600, Hebei, CHINA; 2. The First Affiliated Hospital of Hebei North University, Zhangjiakou
075000, Hebei, CHINA; 3. Technical Service Station, Population and Family Planning Bureau of Wanquan County,
Wanquan 076250, Hebei, CHINA

【Abstract】 Objective To investigate mode of delivery，indications and influential factors of cesarean section
in one hospital of Zhangjiakou. Methods From January 1st, 2005 to December 31st, 2012, the clinical data of mode
of delivery, indications and influential factors in 2450 late pregnancy and delivery women were studied retrospective-
ly. Results The cesarean delivery rate of delivery mode has increasing tendency recently, the rate of operative vagi-
nal delivery (low-forceps and vacisum extracter) is descended obviously. The proportion of cesarean section indica-
tions changes from fetal distress, abnormal labor, cephalopelvic disproportion, hypertensive disorders in pregnancy to
no indication, fetal distress, scarred uterine, cephalopelvic disproportion. Conclusion It is urgent to reduce no indica-
tion of caesarean section, the high rate of caesarean birth.