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目的探讨、分析我院剖宫产率及剖宫产指征近10年来的变化。方法对我院于2001年~2010年总共十年来,孕周为40~42周范围内的住院分娩病例进行回顾性分析。结果剖宫产率呈渐渐的小幅度升高趋势并且剖宫产手术指征范围也呈逐渐放宽走向;2006年前剖宫产指征主要为母体因素及胎儿因素,2006年后社会因素及瘢痕子宫所占剖宫产手术比例明显升高,10年间剖宫产率迅速的上升。结论瘢痕子宫、社会因素已成为剖宫产率升高的重要因素;广大医务人员要严格掌握剖宫产指征,倡导无手术指征产妇要首选阴道分娩。
Objective To investigate and analyze the changes of cesarean section rate and indication of cesarean section in our hospital in recent 10 years. Methods The hospital from 2001 to 2010 a total of ten years, the gestational age range of 40 to 42 weeks of hospital delivery cases were retrospectively analyzed. Results The incidence of cesarean section showed a gradual slight upward trend and the scope of cesarean section indications also gradually relaxed. Before 2006, indications for cesarean section were maternal factors and fetal factors. After 2006, social factors and scars Uterine caesarean section accounted for a significant increase in the proportion of cesarean section rate increased rapidly in 10 years. Conclusions Scar uterus and social factors have become an important factor in cesarean section rate increase. The majority of medical staff should strictly observe the indication of cesarean section and advocate that vaginal delivery should be the first choice for women without indications.