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Lancet:中国剖宫产率居高不下令人担忧

2014-04-30 rabbit0487 dxy

世界卫生组织统计数据显示,2007-2008年,中国的剖宫产率将近50%,比世界卫生组织倡导15%高出三倍。尽管到2010年中国剖宫产率降到了42%,但仍然是全球最高的。导致这一现象的原因有很多。一些女性害怕疼痛及自然分娩后的阴道松弛,她们认为剖宫产更安全,更快捷,疼痛更少,剖宫产术后身材更容易恢复,对性生活的影响也更小。中国的母亲喜欢根据运势来选择孩子出生日期,而剖宫产更容易让孩子在特定的那天出

世界卫生组织统计数据显示,2007-2008年,中国的剖宫产率将近50%,比世界卫生组织倡导15%高出三倍。尽管到2010年中国剖宫产率降到了42%,但仍然是全球最高的。【原文下载】


导致这一现象的原因有很多。一些女性害怕疼痛及自然分娩后的阴道松弛,她们认为剖宫产更安全,更快捷,疼痛更少,剖宫产术后身材更容易恢复,对性生活的影响也更小。

中国的母亲喜欢根据运势来选择孩子出生日期,而剖宫产更容易让孩子在特定的那天出生。

紧张的医患关系让一些医生通过建议患者剖宫产来避免可能出现的医疗纠纷。此外,剖宫产对医院来说是有利可图的。例如,在北京等大城市的顶级医院,自然分娩的费用一般是6000元,而剖宫产至少要12000元。

糖尿病及肥胖女性人数增多导致巨大儿数量增加,以及高龄妊娠人数增多,都会增加剖宫产率。
然而,很多研究已经表明,对于那些非医学需要而行剖宫产手术的女性,其发生剖宫产相关并发症及死亡的风险都很高。此外,通过剖宫产出生的婴儿更易患呼吸系统疾病、肥胖及其它代谢性疾病。因此,控制中国的剖宫产率显得尤为迫切。

为此,中国政府应颁布具体的政策和措施,例如将非医学需要的剖宫产率作为医院综合评分的一个指标,提倡自然分娩;医院和社区对育龄期女性开展健康教育,帮助她们选择正确的分娩方式;积极防治育龄期女性肥胖和糖尿病等疾病,进而降低其分娩出巨大儿的风险;同时鼓励育龄期女性在35岁以前分娩。

原始出处:

Mi J1, Liu F2.Rate of caesarean section is alarming in China.Lancet. 2014 Apr 26;383(9927):1463-4. doi: 10.1016/S0140-6736(14)60716-9.【原文下载】

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    2015-01-16 howi
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    2014-05-02 125.70.89.31

    自然生产给二胎指标

    0

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    2014-04-30 101.228.80.211

    助产士不多,怕遭两次罪

    0

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    2014-04-30 61.158.60.237

    顺其自然有什么不好???

    0

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    2014-04-30 stroke

    关键看后果!

    0

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