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目的:通过对近3年剖宫产的指征分析,探讨降低剖宫产率的措施。方法:采取回顾性分析的方法,对广丰县妇幼保健院近3年2 681例剖宫产病例临床资料进行分析。结果:近3年剖宫产率逐渐上升,由2007年的19.16%上升到2009年的31.3%,主要指征为瘢痕子宫、头盆不称、胎儿窘迫、社会因素等。结论:对于剖宫产率呈逐渐上升,医务人员应积极做好宣传指导工作,积极推广导乐分娩及镇痛分娩,规范操作,提高产科质量,严格掌握剖宫产指征,控制剖宫产率。
Objective: To analyze the indications of cesarean section in the past 3 years to explore the measures to reduce the rate of cesarean section. Methods: To retrospectively analyze the clinical data of 2 681 cases of cesarean section in Guangfeng County Maternal and Child Health Hospital in recent 3 years. Results: The rate of cesarean section increased gradually from 19.16% in 2007 to 31.3% in 2009 in the past 3 years. The main indications were scarring uterus, cephalopelvic disproportion, fetal distress, social factors and so on. Conclusion: For cesarean section rate was gradually increased, medical staff should actively do a good job in publicity and guidance, and actively promote the delivery of labor and analgesic childbirth, standardized operation, improve the quality of obstetrics, strict indications of cesarean section, control of cesarean section rate.