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目的规范剖宫产指征,降低剖宫产发生率。方法对2004年至2008年2408例剖宫产原因进行回顾性调查分析。结果剖宫产率为39.31%。2408例剖宫产指征顺位为:胎儿宫内窘迫(23.13%),社会因素(20.06%),难产(18.02%),臀位(12.00%),妊娠合并症并发症(10.00%),瘢痕子宫(8.85%),其他因素(7.56%)。结论剖宫产率高由多方面因素引起,只有合理掌握剖宫产指征,通过医患双方、社会的共同努力,才能更好地降低剖宫产率。
Objective To standardize cesarean indications and reduce the incidence of cesarean section. Methods The causes of cesarean section in 2408 cases from 2004 to 2008 were retrospectively analyzed. Results Cesarean section rate was 39.31%. The indications of cesarean section in 2408 cases were: fetal distress (23.13%), social factors (20.06%), dystocia (18.02%), breech position (12.00%), complication of pregnancy complications (10.00% Scarring of the uterus (8.85%), other factors (7.56%). Conclusion The high rate of cesarean section is caused by many factors. Only by properly judging the indication of cesarean section, we can better reduce the rate of cesarean section through the joint efforts of both doctors and patients and the society.