摘要
Abstract
Objective:To understand the changes of cesarean section rate,cesarean section indications and maternal structure before and after the implementation of "universal two-child policy" in primary hospital.Methods: Retrospective analysis was conducted on medical record data of 989 puerperal in Jiyang County Hospital of traditional Chinese Medicine from July to December in 2015 and 2016.Results:The rate of cesarean section was 48.57% and 44.67%,respectively,before and after the implementation of "universal two-child policy ",the difference was not statistically significant (P> 0.05).The scar uterus,pregnancy complications,breech formation ratio increased,the most obvious increase is the scar uterus,from 43.34% to 54.65%,the difference was statistically significant (P<0.01);The constituent ratio of social factors,huge children and relative cephalopelvic disproportion declined,the most obvious decline is social factors,from 11.46% to 7.21%,the difference was statistically significant (P<0.05);In the cesarean section,the elderly pregnant women increased from 10.8% to 17.9% (P <0.01),and the number of maternal who fertility two children increased from 69.96% to 79.28%(P<0.01),the difference was both statistically significant.关键词
"全面二孩"政策/基层医院/剖宫产指征/剖宫产率Key words
"universal two-child policy"/primary hospital/cesarean section indications/cesarean section rate