1、降低单胎足月头位的初产妇剖宫产率Decrease cesarean section rate(Surgical Procedures）(From the International Library of Measures I-PC-01),汇报人：张毅Reporter:,单胎足月头位剖宫产的初产妇是指初产妇中37周、单胎、头位进行剖宫产分娩的产妇。分子：单胎足月头位剖宫产的初产妇人数分母：单胎足月头位的初产妇分娩总人数计算方法：单胎足月头位剖宫产的初产妇剖宫产率：单胎足月头位剖宫产的初产妇人数/单胎足月头位的初产妇分娩总人数X100% Cesarean section rate= patien
2、ts with cesarean sections/ nulliparous patients delivered of a live term singleton newborn in vertex presentation （单胎足月头位的初产妇分娩总人数=单胎足月头位的初产妇剖宫产人数+单胎足月头位的初产妇阴道分娩人数）,1.世界卫生组织要求任何国家和地区的剖宫产率均不应超过15% 。WHO requires that cesarean section rate is less than 15%2.我国卫生部三级甲等医院评审要求剖宫产率小于等于50%。Our Ministry of He
3、alth Grade III Class A hospital accreditation requires that cesarean section rate is less than 50%3.病人要求平安分娩Patients require safe delivery4.我科现状：Current Situation,根据卫生部要求及一月份至四月份单胎足月头位的初产妇剖宫产率将我院剖宫产率目标值设定30% 。According to the Ministry of Health requirements and cesarean section rate of our hospital
4、from January to April, the target value is not more than 30%.,2012年1月-4月单胎足月头位的初产妇剖宫产率,6,资料收集,怕疼派,求安派,择吉派,剖宫产率上升the cesarean section rate increase,严格控制剖宫产手术指征Strictly control cesarean section indicatio加强我科医生高级生命支持技术的培训，以提高助产技术及处理难产的技能Strengthen doctors ALS skill training to midwifery and skills abou
5、t handling dystocia宣传剖宫产对母儿的危害及自然分娩的好处Publicize the shortcoming of cesarean section and the impact of elective delivery on mother and infant 开展孕期瑜伽活动，加强孕妇学校宣教Develop yoga for pregnant women activity加强导乐陪伴Strengthen comfort delivery company开展产时镇痛和无痛分娩Develop intrapartum analgesia and painless deliver
6、y,无痛分娩宣教painless labor propaganda and education,孕妇学校培训Training in pregnant women school,宣传剖宫产弊端及自然分娩优点Publicize the shortcoming of cesarean section and merit of normal labor,加强导乐陪伴strengthen comfort delivery company,科室培训Departmental training,2012年1月-8月单胎足月头位的初产妇剖宫产率,严格控制剖宫产手术指征，无任何医学指征的产妇要求剖宫产者由科主任进
7、行审核，努力降低此类因素剖宫产Strictly control cesarean section indicatio宣传剖宫产对母儿的危害及自然分娩的好处Publicize the shortcoming of cesarean section and the impact of elective delivery on mother and infant 加强产科医生的再培训Strengthen doctors retraining增加导乐陪伴人数Add comfort delivery company person,目标佐证资料,内蒙古自治区医学出生证明登记管理系统Medical cert
8、ificate for childbirths registration system of Inner Mongolia医院2012年产科年度工作目标 target of the year 2012 of obstrical department 乌海市妇幼保健院产妇分娩登记本delivery registration book乌海市妇幼保健院电子病历系统electronic medical record system,乌海市妇幼保健院出院病人电子登记系统Discharge patients electronic registration system,医学出生证明登管理系统medical certificate for childbirths management system,乌海市妇幼保健院分娩登记本Delivery registration book,
