降低單胎足月頭位初產(chǎn)婦的剖宮產(chǎn)率

1、降低單胎足月頭位的初產(chǎn)婦剖宮產(chǎn)率Decrease cesarean section rate(Surgical Procedures）(From the International Library of Measures I-PC-01),匯報(bào)人：張毅Reporter:,單胎足月頭位剖宮產(chǎn)的初產(chǎn)婦是指初產(chǎn)婦中≥37周、單胎、頭位進(jìn)行剖宮產(chǎn)分娩的產(chǎn)婦。分子：單胎足月頭位剖宮產(chǎn)的初產(chǎn)婦人數(shù)分母：單胎足月頭位的初產(chǎn)婦分娩總?cè)藬?shù)計(jì)

2、算方法：單胎足月頭位剖宮產(chǎn)的初產(chǎn)婦剖宮產(chǎn)率：單胎足月頭位剖宮產(chǎn)的初產(chǎn)婦人數(shù)/單胎足月頭位的初產(chǎn)婦分娩總?cè)藬?shù)X100% Cesarean section rate= patients with cesarean sections/ nulliparous patients delivered of a live term singleton newborn in vertex presentation （單胎足月頭位的初產(chǎn)婦分娩總?cè)?/p>

3、數(shù)=單胎足月頭位的初產(chǎn)婦剖宮產(chǎn)人數(shù)+單胎足月頭位的初產(chǎn)婦陰道分娩人數(shù)）,1.世界衛(wèi)生組織要求任何國家和地區(qū)的剖宮產(chǎn)率均不應(yīng)超過15% 。WHO requires that cesarean section rate is less than 15%2.我國衛(wèi)生部三級甲等醫(yī)院評審要求剖宮產(chǎn)率小于等于50%。Our Ministry of Health Grade III Class A hospital accreditation

4、requires that cesarean section rate is less than 50%3.病人要求平安分娩Patients require safe delivery4.我科現(xiàn)狀：Current Situation,根據(jù)衛(wèi)生部要求及一月份至四月份單胎足月頭位的初產(chǎn)婦剖宮產(chǎn)率將我院剖宮產(chǎn)率目標(biāo)值設(shè)定≤30% 。According to the Ministry of Health requirements and

5、cesarean section rate of our hospital from January to April, the target value is not more than 30%.,2012年1月-4月單胎足月頭位的初產(chǎn)婦剖宮產(chǎn)率,,6,,,資料收集,怕疼派,求安派,擇吉派,剖宮產(chǎn)率上升the cesarean section rate increase,,,嚴(yán)格控制剖宮產(chǎn)手術(shù)指征Strictly control ce

6、sarean section indicatio加強(qiáng)我科醫(yī)生高級生命支持技術(shù)的培訓(xùn)，以提高助產(chǎn)技術(shù)及處理難產(chǎn)的技能Strengthen doctors ALS skill training to midwifery and skills about handling dystocia宣傳剖宮產(chǎn)對母兒的危害及自然分娩的好處Publicize the shortcoming of cesarean section and the imp

7、act of elective delivery on mother and infant 開展孕期瑜伽活動，加強(qiáng)孕婦學(xué)校宣教Develop yoga for pregnant women activity加強(qiáng)導(dǎo)樂陪伴Strengthen comfort delivery company開展產(chǎn)時鎮(zhèn)痛和無痛分娩Develop intrapartum analgesia and painless delivery,無痛分娩宣教pai

8、nless labor propaganda and education,孕婦學(xué)校培訓(xùn)Training in pregnant women school,宣傳剖宮產(chǎn)弊端及自然分娩優(yōu)點(diǎn)Publicize the shortcoming of cesarean section and merit of normal labor,加強(qiáng)導(dǎo)樂陪伴strengthen comfort delivery company,,,,科室培訓(xùn)Departme

9、ntal training,,2012年1月-8月單胎足月頭位的初產(chǎn)婦剖宮產(chǎn)率,嚴(yán)格控制剖宮產(chǎn)手術(shù)指征，無任何醫(yī)學(xué)指征的產(chǎn)婦要求剖宮產(chǎn)者由科主任進(jìn)行審核，努力降低此類因素剖宮產(chǎn)Strictly control cesarean section indicatio宣傳剖宮產(chǎn)對母兒的危害及自然分娩的好處Publicize the shortcoming of cesarean section and the impact of elect

10、ive delivery on mother and infant 加強(qiáng)產(chǎn)科醫(yī)生的再培訓(xùn)Strengthen doctors retraining增加導(dǎo)樂陪伴人數(shù)Add comfort delivery company person,目標(biāo)佐證資料,內(nèi)蒙古自治區(qū)醫(yī)學(xué)出生證明登記管理系統(tǒng)Medical certificate for childbirths registration system of Inner Mongolia醫(yī)院

11、2012年產(chǎn)科年度工作目標(biāo) target of the year 2012 of obstrical department 烏海市婦幼保健院產(chǎn)婦分娩登記本delivery registration book烏海市婦幼保健院電子病歷系統(tǒng)electronic medical record system,烏海市婦幼保健院出院病人電子登記系統(tǒng)Discharge patients electronic registration system