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目的通过分析苏州市立医院围产保健情况,探讨相关影响因素。方法以2006年-2013年《苏州市围产登记表》、《分娩登记本》和电子监测信息系统登记为统计依据,统计各年度围产保健情况变化。结果分娩数逐年增加。高危妊娠比例和双胎及以上比例呈递增趋势,初产比例呈下降趋势,产前检查率呈逐年递增趋势。阴道自然分娩率、剖宫产率、难产率变化不大,臀位阴道分娩率、产钳分娩率呈下降趋势,阴道分娩中会阴侧切率下降明显。围产儿死亡率呈下降趋势。低出生体重儿发生率、巨大儿发生率、出生缺陷发生率变化不大。
Objective To analyze perinatal health care in Suzhou Municipal Hospital and explore the related factors. Methods According to the “Perinatal Registration Form of Suzhou City”, “Birth Registration Book” and the Electronic Monitoring Information System from 2006 to 2013 as the statistical basis, the change of perinatal health care situation in each year was calculated. Results The number of births increased year by year. The proportion of high-risk pregnancies and twins and above showed an increasing trend, the proportion of primiparous patients showed a downward trend, and the rate of prenatal examinations showed an increasing trend year by year. Vaginal spontaneous delivery rate, cesarean section rate, little change in the rate of dystocia, breech vaginal delivery rate, delivery forceps delivery rate showed a downward trend in vaginal delivery episiotomy lateral cut rate decreased significantly. Perinatal mortality is on the decline. The incidence of low birth weight infants, macrosomia, birth defects did not change much.