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近年来,随着麻醉技术及剖宫产手术技术的进一步提高,剖宫产的安全性大为提高,剖宫产率随之逐年上升,尤其以社会因素为指征剖宫产[1]的比例也呈逐年上升趋势,比例已经占所有剖宫产的30%～50%,有些地区甚至超过60%[2]。虽然剖宫产术是处理高危妊娠和异常分娩及挽救孕产妇和围生儿生命的有效手段,但当剖宫产率上升到一定水平后,新生儿窒息的发生率并没有明显下降,与阴道分娩相比,剖宫产母婴并发症及产妇死亡的相对危险性反而回升,住院费用大幅度增加。故寻找有效的产前宣教方法,加强产前宣教,降低社会因素为指征的剖宫产人数,也就降低了剖宫产率。
In recent years, with the further improvement of anesthesia techniques and cesarean surgical techniques, the safety of cesarean section has been greatly improved, and the rate of cesarean section has increased year by year, especially with cesarean section as the indication of social factors [1] The proportion has also been increasing year by year, the proportion has accounted for 30% to 50% of all cesarean section, and in some areas even more than 60% [2]. Although cesarean section is an effective means to deal with high-risk pregnancy and abnormal delivery and save the lives of pregnant women and perinatal children, the incidence of neonatal asphyxia did not decrease significantly when the cesarean section rate increased to a certain level, Compared with childbirth, the relative risks of mother-infant cesarean section and maternal death rose instead, and the cost of hospitalization increased significantly. Therefore, looking for an effective method of prenatal mission, strengthening prenatal education, reducing the number of cesarean section indications for social factors, it also reduces the rate of cesarean section.