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目的总结我市10年来剖宫产率变化及剖宫产指征分布并分析原因,以降低剖宫产率。方法回顾分析10年来的剖宫产率及指征。结果 10年剖宫产率平均为28.79%,5 446例剖宫产指征顺位为:头盆不称、羊水过少、社会因素、疤痕子宫、胎儿宫内窘迫、脐带缠绕、过期妊娠、臀位、巨大儿。结论剖宫产率增高由多种因素所致,非难产性因素使剖宫产指征相对扩大。只有合理掌握剖宫产指征,在医患双方及社会的共同努力下,才能降低剖宫产率。
Objective To summarize the changes of cesarean section rate and the distribution of cesarean section indications in our city in the past 10 years and analyze the causes to reduce the cesarean section rate. Methods Retrospective analysis of 10 years of cesarean section rate and indications. Results The average rate of cesarean section was 28.79% in 10 years. The indications of 5 446 cesarean sections were as follows: the headless basin, oligohydramnios, social factors, scar uterus, fetal distress, umbilical cord entanglement, Breech, huge children. Conclusion The increase of cesarean section rate is caused by many factors. The non-dystocia factors make the indications of cesarean section expand relatively. Only a reasonable grasp of cesarean indications, both doctors and patients and the joint efforts of the community, in order to reduce the cesarean section rate.