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目的 :分析剖宫产率及其指征的变化 ,以及对新生儿窒息率、新生儿病死率的影响。方法 :采用回顾性分析的方法 ,对 1 980～ 2 0 0 2年在我院分娩 3785 6例 ,其中剖宫产 6733例的资料进行分析。结果 :1 2 2年间剖宫产率呈逐年上升趋势。 2臀位发生率呈下降趋势 ,但臀位剖宫产率逐年上升。 3巨大儿发生率呈上升趋势。 4社会因素已成为剖宫产的重要因素之一。 5剖宫产率只在一定水平上使新生儿窒息率、新生儿病死率降低。结论 :加强对社会医学知识的普及和宣传 ;加强围产期保健 ;提高医疗从业人员的医疗水平 ,将有助于剖宫产率的下降 ,提高产科及新生儿医学质量
Objective: To analyze the changes of cesarean section rate and its indications, as well as the impact on neonatal asphyxia and neonatal mortality. Methods: The retrospective analysis of 37806 cases in our hospital from 1985 to 2002, 6733 cases of cesarean section were analyzed. Results: The rate of cesarean section showed an increasing trend in 2012. 2 breech incidence decreased, but the cesarean section rate increased year by year. 3 the incidence of huge children is on the rise. 4 Social factors have become an important factor in cesarean section. 5 cesarean section rate only at a certain level of neonatal asphyxia, neonatal mortality decreased. Conclusion: To strengthen the popularization and publicity of social medical knowledge; to enhance perinatal health care; to improve the medical level of medical practitioners will help reduce the cesarean section rate and improve the quality of obstetric and neonatal medicine