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目的分析剖宫产率升高的相关因素,探讨降低剖宫产率的可行性措施。方法对2001年1月～2008年12月我院3554例剖宫产病历进行回顾性分析。结果剖宫产率从65.6%逐渐升高,最高达75.5%,主要指征为胎儿窘迫、社会因素、妊高症、相对头盆不称等。结论胎儿宫内窘迫和社会因素已成为剖宫产率升高的主要原因。降低剖宫产率的关键在于严格掌握剖宫产指标,提高产科诊断水平,加强围产期保健宣传,控制社会因素的剖宫产率。
Objective To analyze the related factors of cesarean section rate and to explore the feasibility of reducing cesarean section rate. Methods From January 2001 to December 2008, 3554 cases of cesarean section in our hospital were retrospectively analyzed. Results The rate of cesarean section increased gradually from 65.6% to 75.5%. The main indications were fetal distress, social factors, pregnancy-induced hypertension, relative cephalopelvic disproportion and so on. Conclusion Fetal distress and social factors have become the main reason for the increased cesarean section rate. The key to reduce the rate of cesarean section is to strictly grasp the indicators of cesarean section to improve the level of obstetric diagnosis, enhance perinatal health care publicity, control of social factors in cesarean section rate.