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目的分析近5年来剖宫产率和剖宫产指征的变化,为进一步降低剖宫产率提供临床指导。方法回顾性分析2010年至2014年郑州大学第三附属医院分娩的孕产妇临床资料,比较了近5年来剖宫产率及剖宫产指征的变化。结果 1近五年剖宫产率逐年下降;2前3位剖宫产指征为社会因素,瘢痕子宫,妊娠合并症及并发症;社会因素剖宫产率逐渐下降,瘢痕子宫剖宫产率上升。结论经过多方努力,剖宫产率逐年下降,通过严把首次剖宫产指征,加强孕期围产保健及宣教,提高阴道助产技术,改变服务模式,制定剖宫产下降目标,逐步开展瘢痕子宫阴道试产等,有望进一步降低剖宫产率。
Objective To analyze the changes of cesarean section rate and cesarean section indications in the past five years and provide clinical guidance to further reduce the rate of cesarean section. Methods The clinical data of pregnant women giving birth at the Third Affiliated Hospital of Zhengzhou University from 2010 to 2014 were retrospectively analyzed. The changes of cesarean section rate and indication of cesarean section in the past five years were compared. Results The cesarean section rate decreased in recent five years. The incidence of cesarean section in the first three cesareans was marked by social factors, scar uterus, pregnancy complications and complications. The cesarean section rate of social factors decreased gradually, rise. Conclusions After various efforts, the rate of cesarean section is declining year by year. By strictly indicating the first cesarean section, strengthening perinatal care and education during pregnancy, improving vaginal midwifery technology, changing service mode, setting down the goal of cesarean section and gradually developing scarring Uterine vaginal trial production, is expected to further reduce the cesarean section rate.