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目的：探讨手术产率、剖宫产适应症的变化及手术产儿的情况。结果：剖宫产率及其适应症发生了明显的变化，而阴道助产率无明显改变，手术产新生儿的死亡率及窒息率均明显下降。结论：剖宫产率升高与手术技术不断提高，对母儿比较安全， 在一定程度上降低了围产儿的死亡比， 但围产儿死亡比的下降不能仅靠增加剖宫产率， 应着重于围产医学的发展及产科质量的提高。
Objective: To investigate the surgical yield, changes in cesarean indications and surgical operation of children. Results: The rate of cesarean section and its indication had a significant change, while the vaginal delivery rate had no significant change. The mortality rate and asphyxia rate of neonates after operation were significantly decreased. CONCLUSIONS: Cesarean section rate and surgical techniques are improved continuously, which are safe for both mother and child and reduce the perinatal mortality rate to a certain extent. However, the decline in perinatal death rate can not be solely due to an increase in cesarean section rate, which should be emphasized In the development of perinatal medicine and improve the quality of obstetrics.