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目的:对基层医院破宫产率增高的原因进行探讨并分析其防治对策。方法:选取2003年5月至2007年5月以及2008年5月至2012年5月来我地区妇幼保健医院住院并分娩的产妇病例的临床资料进行回顾性分析,分析剖宫产的发生率以及剖宫产的临床指征变化。结果:2008年5月至2012年5月间剖宫产的比率明显上升,导致这种现象的首要原因是社会因素。结论:基层医院剖宫产率迅速上升的首要原因是基层医院剖宫产率迅速升高的主要原因是又善于基层医院的产科医师以及当地的人民群众对剖宫产的认识不足,破宫产的临床指征需要合理掌握,宣传自然分娩的优点,使剖宫产率降低,保障母婴的生命安全。
Objective: To investigate the causes of the increase of the rate of uterine bleeding in primary hospitals and to analyze its control strategies. Methods: The clinical data of maternal cases from May 2003 to May 2007 and from May 2008 to May 2012 in our district MCH hospital were analyzed retrospectively. The incidence of cesarean section and Cesarean section changes in clinical indications. Results: The rate of cesarean section increased significantly from May 2008 to May 2012. The primary reason for this phenomenon was social factors. Conclusion: The primary reason for the rapid rise of cesarean section rate in primary hospitals is that the primary reason for the rapid increase of cesarean section rate in primary hospitals is that the obstetricians in grass-roots hospitals and local people are not aware of cesarean section. The clinical indications need to be properly mastered to promote the advantages of natural childbirth, cesarean section rate to reduce the protection of mother and child life safety.