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目的 探讨 1997年初至 1998年末剖宫产指征的掌握情况。方法 对 3475例剖宫产病例进行回顾性分析。结果 剖宫产率为 45 2 %。主要指征依次为 :妊娠并发症 (36 6 % )、胎儿窘迫 (2 2 6 % )、妊娠合并症(13 5 % )、巨大儿 (10 2 % )、珍贵儿 (9 8% )、臀位 (9 8% )、高龄初产 (9 1% ) ,其中巨大儿的诊断符合率 6 2 3 % ,5 6 %的妊高征孕妇选择了剖宫产 ,轻度妊高征占总数的 37 6 %。新生儿发病率和病死率分别为 13 6 %和 1 1‰。结论 必须提高医务人员对剖宫产的认识 ,使之正确掌握剖宫产指征 ,并应提供有效的陪伴分娩和分娩镇痛
Objective To explore the indications of cesarean section from the beginning of 1997 to the end of 1998. Methods 3475 cases of cesarean section were retrospectively analyzed. Results Cesarean section rate was 45 2%. The main indications were as follows: pregnancy complication (36.6%), fetal distress (22.6%), pregnancy complications (135%), giant children (102%), precious children (9 8%), the first trimester (9 1%), of which the diagnostic accuracy of giant children was 62.3%. Fifty-six pregnant women with PIH chose cesarean section and mild PIH 37 6%. Neonatal morbidity and mortality were 13.6% and 11.1%, respectively. Conclusion It is necessary to raise awareness of cesarean section among medical staff so that they can correctly grasp indications for cesarean section and should provide effective companion and labor analgesia