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目的:探讨剖宫产指征变化的情况及降低剖宫产率的相关措施。方法:回顾性分析慈溪市第三人民医院2006及2011年剖宫产率及指征的变化。结果:2006年剖宫产率为27%,2011年剖宫产率上升至39.4%,剖宫产率明显升高,差异有统计学意义(P值<0.05)。剖宫产指征中,胎儿因素、母亲因素、头盆因素、社会因素等构成比的发生有变化。社会因素、疤痕子宫、头盆因素剖宫产上升,差异有统计学意义(P值<0.05)。结论:必须要降低基层医院社会因素剖宫产率;基层医院医生应加强业务学习,严格掌握剖宫产手术指征,提高异常产程的处置能力,才能合理有效地降低剖宫产率,提高产科质量、确保母婴安全。
Objective: To investigate the changes of indication of cesarean section and the related measures to reduce the rate of cesarean section. Methods: A retrospective analysis of Cixi City Third People’s Hospital in 2006 and 2011 cesarean section rate and changes in indications. Results: The rate of cesarean section in 2006 was 27%. In 2011, the rate of cesarean section increased to 39.4%. The rate of cesarean section was significantly increased. The difference was statistically significant (P <0.05). Cesarean indications, fetal factors, maternal factors, head and neck, social factors, such as the composition of the occurrence of change. Social factors, scar uterus, cesarean section factors increased, the difference was statistically significant (P value <0.05). Conclusion: It is necessary to reduce the cesarean section rate of primary hospital social factors; primary hospital doctors should strengthen business learning, strictly control indications for cesarean section and improve the capacity of abnormal labor, in order to reasonably and effectively reduce the rate of cesarean section and improve obstetrics Quality, to ensure the safety of mother and child.