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目的 寻找剖宫产率上升的原因,提高分娩质量,降低剖宫产率。方法 把1987年～2003年3197 例剖宫产指征分为三个年段,即1987～1992、1993～1998、1999-2003进行对比分析。结果 相对指征、绝对指征、 社会因素引起的剖宫产率均在上升,社会因素上升的幅度最大,所占比率由第一段5.38%上升到第三段31.42%。 结论 绝对指征剖宫产率上升是合理的,相对指征剖宫产率上升是不完全合理的,社会因素所致剖宫产率上升是 不合理的。严格掌握剖宫产指征,是降低剖宫产率的重要措施。
Objective To find out the reasons for the rising rate of cesarean section, improve the quality of delivery and reduce the rate of cesarean section. Methods 3197 cases of cesarean section indications from 1987 to 2003 were divided into three stages, namely, 1987 ~ 1992, 1993 ~ 1998, 1999-2003 for comparative analysis. Results Relative indications, absolute indications, cesarean section rates due to social factors were all rising, and social factors were the highest, with the proportion rising from the first 5.38% to the third 31.42%. Conclusions Absolute indications cesarean section rate rise is reasonable, relative indications cesarean section rate rise is not entirely reasonable, social factors caused by cesarean section rate is unreasonable. Strict control of indications for cesarean section is an important measure to reduce the rate of cesarean section.