国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2014, Vol. 33 ›› Issue (4): 283-285.

• 论著 • 上一篇    下一篇

海门市实施综合干预措施降低剖宫产率的体会

马汉均，陈和新，施俭   

  1. 226100 江苏省海门市妇幼保健所
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-07-15 发布日期:2014-07-15
  • 通讯作者: 马汉均

Experience of Comprehensive Intervention in Reducing Caesarean Rate in Haimen City

MA Han-jun，CHEN He-xin，SHI Jian   

  1. Haimen City Maternal and Child Health Institute，Haimen 226100，Jiangsu Province，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-07-15 Online:2014-07-15
  • Contact: MA Han-jun

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摘要： 目的：探讨海门市降低剖宫产率的干预措施。方法：开展了“提倡自然分娩，控制剖宫产率”的综合干预措施，加强健康教育、加强助产技术服务机构行业管理、严格剖宫产手术指征、落实孕产期免费保健服务政策、卫生行政部门出台奖罚措施并定期监督落实。结果：海门市剖宫产率由干预前的73.39%（2010年10月—2011年5月）下降至2012年、2013年的55.48%、54.86%，取得明显成效。结论：综合干预措施特别是卫生行政部门出台有奖有罚的强有力经济措施，并定期监督落实，对遏制海门市剖宫产率的不断攀升起到了关键作用。

关键词: 综合预防, 自然分娩, 剖宫产术

Abstract: Objective：To explore the effective intervention in reducing the caesarean rate in Haimen City. Methods：Comprehensive intervention measures entitled ′encouraging natural birth, reducing the caesarean rate′ were implemented, including strengthening health education, improving service agency management in relation to midwifery skills, implementing free maternal care policy, following strictly caesarean indication, as well as establishing and implementing routinely the rewards and punishment rules by the health administrative department. Results：The caesarean rate in Haimen City was reduced from 73.39% between October 2010 and May 2011 （pre-intervention period） to 55.48% in 2012 and 54.86% in 2013, indicating a remarkable achievement. Conclusions：Comprehensive intervention measures, especially establishing and implementing routinely the rewards and punishment rules by the health administrative department played a key role in controlling the rising caesarean rate in Haimen City.

Key words: Universal precautions, Natural childbirth, Cesarean section