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目的严格控制剖宫产,降低剖宫产率,以保障母婴健康。方法文就夏邑县人民医院2009年1月至2010年12月两年来施行的1 386例剖宫产指征进行回顾分析研究。结果本院剖宫产率为39.9%。剖宫产主要指征为:①胎儿窘迫380例,占27.42%,②患者要求283例,占20.42%。③疤痕子宫150例,占10.82%。④相对头盆不称142例,占10.25%。⑤胎膜早破132例,占9.52%。结论加强围产期保健,严格掌握剖宫产指征,控制不合理的剖宫产术,积极治疗合并症和并发症,加强产时胎儿监护,可有效的降低剖宫产率。
Objective To strictly control the cesarean section, reduce the rate of cesarean section in order to protect the health of mothers and children. Methods The retrospective analysis of 1 386 cesarean indications performed by Xiayi County People’s Hospital from January 2009 to December 2010 in two years was conducted. Results The hospital cesarean section rate was 39.9%. The main indications for cesarean section: ① 380 cases of fetal distress, accounting for 27.42%, ② patients require 283 cases, accounting for 20.42%. ③ 150 cases of uterine scar, accounting for 10.82%. The relative head basin 142 cases, accounting for 10.25%. ⑤ premature rupture of membranes in 132 cases, accounting for 9.52%. Conclusions Strengthen the perinatal care, strict control of indications of cesarean section, control unreasonable cesarean section, active treatment of complications and complications, and strengthen the delivery of fetal care, can effectively reduce the cesarean section rate.