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目的探讨助产机构产妇剖宫产情况,并分析相关因素。方法收集诸暨市5个助产机构2008年1月-2012年12月分娩病例21 496份,对这些病例进行整理,统计病例基本信息以及剖宫产产妇的主要手术指征及原因。结果2008-2012年5个助产机构的剖宫产率分别为30.80%、32.49%、39.06%、43.42%、45.28%及38.61%,呈逐年上升的趋势(χ~2=307.35,P<0.01)。五年内5个助产机构的剖宫产指征统计表明,产妇选择剖宫产的主要指征前三位分别是:社会因素占36.81%、妊娠并发症占14.52%、头盆不称占9.47%。结论社会因素、妊娠并发症等已成为2008-2012年影响剖宫产率上升的主要因素,采取相应措施控制剖宫产率刻不容缓。
Objective To investigate the situation of cesarean section in midwifery and to analyze the related factors. Methods A total of 21 496 cases of childbirth were collected from 5 midwifery institutions in Zhuji from January 2008 to December 2012. The cases were sorted out and the basic information of cases and the main surgical indications and causes of cesarean section were collected. Results The cesarean section rate of the five midwifery institutions was 30.80%, 32.49%, 39.06%, 43.42%, 45.28% and 38.61% respectively from 2008 to 2012, showing a trend of increasing year by year (χ ~ 2 = 307.35, P <0.01 ). The statistics of cesarean section indications of five midwifery institutions in five years showed that the first three major indications for cesarean section were: social factors accounting for 36.81%, pregnancy complications accounting for 14.52%, and cephalic hearing loss accounting for 9.47 %. Conclusion Social factors such as pregnancy complications have become the main factors affecting the rate of cesarean section increase from 2008 to 2012. It is imperative to take appropriate measures to control the rate of cesarean section.