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目的探讨基层医院剖宫产率逐年增高原因,综合分析其手术指征,以便于采取对应措施,降低剖宫产率。方法选择2000年1月～2009年12月在我院住院分娩产妇共6757例,对其分娩方式及其剖宫产手术指征,进行回顾性分析。结果 10年间剖宫产率逐年上升,由2000年的8.47%上升至2009年的40.07%,在剖宫产指征中,难产与胎儿宫内窘迫居首位原因,其次为社会因素和医源性因素。结论加强孕期保健,加强产时产程监护,合理掌握剖宫产手术指征,是降低剖宫产率的重要措施。
Objective To investigate the causes of cesarean section rate increasing year by year in primary hospitals and to analyze the indications for surgery in order to take corresponding measures to reduce the rate of cesarean section. Methods A total of 6757 maternal inpatients in our hospital from January 2000 to December 2009 were selected and their delivery methods and cesarean section indications were analyzed retrospectively. Results The rate of cesarean section increased from 8.47% in 2000 to 40.07% in 2009 in 10 years. Among the indications of cesarean section, dystocia and fetal distress ranked first, followed by social factors and iatrogenic Sexual factors. Conclusion It is an important measure to reduce the rate of cesarean section by strengthening the care during pregnancy, strengthening the labor during labor and monitoring the indications of cesarean section.