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目的 探讨剖宫产的指征的变化情况,分析影响剖宫产率的因素。方法对焦作市妇幼保健院2005年1月1日至2009年12月31日5390例剖宫产患者资料进行回顾性分析。结果 5年的剖宫产率平均为45.85%,2005年至2008年剖宫产率呈上升趋势,2009年较2008年有所下降。剖宫产的主要原因依次为社会因素、瘢痕子宫、胎位异常、妊高征、产程异常、羊水异常、胎儿宫内窘迫、相对头盆不称,剖宫产出生窒息发生率高于阴道分娩。结论剖宫产率的上升不只是一个纯医学问题,社会因素使剖宫产手术指征相对扩大,只有合理掌握剖宫产指征,通过医患双方、社会的共同努力,才能更好地降低剖宫产率。
Objective To investigate the changes of cesarean section indications and analyze the factors influencing cesarean section rate. Methods The data of 5390 cesarean section patients in Jiaozuo MCH hospital from January 1, 2005 to December 31, 2009 were retrospectively analyzed. Results The average rate of cesarean section in five years was 45.85%. From 2005 to 2008, the rate of cesarean section showed an upward trend, which was lower than that in 2008. The main causes of cesarean section followed by social factors, scar uterus, abnormal fetal position, pregnancy-induced hypertension, abnormal labor, amniotic fluid abnormalities, fetal distress, relative cephalopelvic disproportion, incidence of cesarean section birth asphyxia than vaginal delivery. Conclusion The rise of cesarean section rate is not only a purely medical problem. Social factors make the indications for caesarean section relatively larger. Only by properly judging the indication of cesarean section, through the joint efforts of both doctors and patients, society can be better reduced Cesarean section rate.