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目的:分析影响剖宫产率持续走高的因素,探寻孕产期保健工作中的薄弱环节和服务人群的保健需求,为确定孕产期保健工作方向提供依据。方法:对秦州区四家城区医院产科分娩的27213例活产儿分娩方式进行回顾性分析。结果:15年剖宫产率呈现逐年上升趋势。原因主要有社会因素和产科因素。结论:孕期营养和心理指导将是我区降低剖宫产率的切入点,提高经阴道分娩接生技术是降低剖宫产率的主要手段。
OBJECTIVE: To analyze the factors influencing the continuous rise of cesarean section rate, explore the weak links in the health care during pregnancy and the health care needs of service people, and provide the basis for determining the direction of health care during pregnancy and childbirth. Methods: A retrospective analysis was performed on the delivery methods of 27,213 live births in obstetric delivery in four hospitals in four districts of Qinzhou District. Results: 15 years of cesarean section rate showed a rising trend year by year. The main reasons are social and obstetric factors. Conclusion: Nutrition and psychological guidance during pregnancy will be my area to reduce the incidence of cesarean section starting point, to improve the delivery of vaginal delivery technology is to reduce the main means of cesarean section rate.