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目的观察剖宫产指征的变化,探讨剖宫产率上升的原因。方法对2005年1月~2007年12月2925例住院分娩产妇的剖宫产病例资料进行回顾性分析。结果剖宫产指征放宽。社会因素、胎儿因素、羊水过少、脐带绕颈等成为剖宫产的主要指征。结论剖宫产率升高无医学指征呈上升趋势,提高产科工作者的产科质量,鼓励产妇阴道分娩,正确掌握剖宫产指征是降低剖宫产率的关键。
Objective To observe the changes of cesarean section indications and to explore the reasons for the rising cesarean section rate. Methods A retrospective analysis of 2925 cases of cesarean section in hospitalized delivery from January 2005 to December 2007 was conducted. Results Cesarean indications relaxed. Social factors, fetal factors, oligohydramnios, umbilical cord around the neck become the main indications for cesarean section. Conclusion No increase of cesarean section rate of medical indications is on the rise. Obstetrics and gynecology workers to improve the quality of obstetrics and to encourage vaginal delivery, the correct understanding of cesarean section indication is the key to reduce the rate of cesarean section.