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目的:探讨近年来剖宫产率渐升高的原因,寻找降低剖宫产率的对策。方法:对2002年1月~2005年12月1423例剖宫产病例资料进行回顾性分析。结果:近4年剖宫产率呈逐年上升趋势,均明显高于WHO提出的目标。头位难产、胎儿窘迫、社会因素、妊娠合并症、臀位等为主要剖宫产指征。其中社会因素构成比逐年增加。结论:剖宫产率升高与医患双方有关,孕产妇及医生的主观意愿影响着对分娩方式的合理选择,降低剖宫产率应从医患双方着手。
Objective: To investigate the reasons for the rising rate of cesarean section in recent years and to find ways to reduce the rate of cesarean section. Methods: The data of 1423 cesarean cases from January 2002 to December 2005 were analyzed retrospectively. Results: The incidence of cesarean section showed an upward trend year by year in the past 4 years, which were significantly higher than those set by WHO. Head dystocia, fetal distress, social factors, pregnancy complications, breech, etc. as the main indications for cesarean section. Among them, the composition of social factors increased year by year. Conclusion: The increase of cesarean section rate is related to both doctors and patients. The subjective intention of pregnant women and doctors influences the rational choice of mode of delivery, and the rate of cesarean section should be reduced from both doctors and patients.