Clinical Study For The Rate And Indication Of Hysterotokotomy

Objective: To study the reasons of ascending of hysterotokotomy rate, changes of hysterotokotomy indication and effects of different delivery manner for the mother-child to search the available measure for reducing the ratio of hysterotokotomy.Methods: It was selected from 1999 to 2004 that 5077 cases, including 2702 case of vaginal delivery and 2375 cases of hysterotokotomy, of parturiecy delivered in the department of obstetrics and gynecology, the Hospital of Huncun City, and in which 828 cases of lying-in women delivered from December 2003 to November 2004 were selected, including 371 case of vaginal delivery and 457 cases of hysterotokotomy, to perform retrospectively statistic analysis for the changes and correlational factors of hysterotokotomy rate and relation between different delivery manner and postpartum hemorrhage, puerperal infection and asphyxia neonatorum, and so on.Results: In the hysterotokotomy indications, the society factors acounted for primacy, next was fetal distress, macrosomia and dystocia, and so on. Hemorrhagic incidence in the group of hysterotokotomy was significantly higher than that in the group of vaginal delivery (P<0.01) , and there had significant differences between two groups (P<0.01) , and the incidence ofpuerperal infection and asphyxia neonatorum in the group of hysterotokotomy was also significantly higher than that in the group of vaginal delivery (P<0.01) . Conclusions:1. The rate of hysterotokotomy is increasing from 1999 to 2004.2. In the composing ratio of hysterotokotomy indications, the people who wanted to hysterotokotomy with no obvious indication of operation acounts for primacy, secondly was fetal distress, macrosomia and head location dystocia, and so on.3. The incidence of hemorrhagy, puerperal infection and asphyxia neonatorum in hysterotokotomy was significantly higher than that in vaginal delivery.4. To be right in control of hysterotokotomy indication, make out well the prenatal drumbeating and education and accompany nursing at the birth process, et al could effectively decrease the rate of hysterotokotomy and reduce the occurrence of postpartum complications.