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目的剖析近年来剖宫产率居高不下的主要影响因素,为制定降低剖宫产的具体措施提供资料。方法对2006～2008年本院足月分娩病例进行回顾性分析。结果①剖宫产率呈逐年上升趋势,而产钳率呈逐年下降趋势;②剖宫产占难产分娩的比例逐年增高,同期产钳助产占难产分娩的比例逐年下降;③2006年至2008年居于前四位的剖宫产手术指征是:要求手术、巨大儿、难产、胎儿窘迫。结论剖宫产率升高主要原因为无医学指征的社会因素增加。来自孕妇及医生的主观意愿,影响对分娩方式的合理选择。降低剖宫产率的关键是严格掌握剖宫产指征,尽量减少人为因素的剖宫产。
Objective To analyze the main influencing factors of high cesarean section rate in recent years and provide information for making specific measures to reduce cesarean section. Methods Retrospective analysis of the cases of full-term delivery in our hospital from 2006 to 2008. Results ① The rate of cesarean section was increasing year by year, while the rate of producing forceps was declining year by year. ② The proportion of cesarean section to parturient delivery increased year by year, and the ratio of forceps delivery to dystocia delivery decreased year by year. ③ From 2006 to 2008, Four cesarean section indications are: surgery, huge children, dystocia, fetal distress. Conclusion The main reason for the increased cesarean section rate is the increase of social factors without medical indications. Subjective wishes from pregnant women and doctors influence the rational choice of mode of delivery. The key to reduce the rate of cesarean section is to strictly grasp the indications for cesarean section, minimize cesarean section of human factors.