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目的分析该院近3年来剖宫产率及剖宫产指征的变化,寻找降低剖宫产率的对策。方法选取2013-2015年间在该院生产的7 156例剖宫产产妇的临床资料进行回顾性分析,观察并比较剖宫产率及剖宫产指征的变化情况。结果以瘢痕子宫、产前出血、妊娠期高血压疾病为主要剖宫产指征,各年份组的剖宫产率比较,差异有统计学意义(P<0.05);其次以社会因素、胎儿宫内窘迫为剖宫产指征,各年份组的剖宫产率比较,差异有统计学意义(P<0.05);最后异常分娩、羊水过少、妊娠合并症及多胎妊娠也为剖宫产指征,但各年份组的剖宫产率之间相比,差异不具有统计学意义(P>0.05)。结论社会因素、瘢痕子宫仍是剖宫产率增加的主要原因,提倡阴道试产,严格掌握剖宫产指征,提高产科质量。
Objective To analyze the change of cesarean section rate and cesarean section indications in the past three years in this hospital and find out the countermeasures to reduce the rate of cesarean section. Methods The clinical data of 7 156 cesarean section women in our hospital from 2013 to 2015 were retrospectively analyzed. The changes of cesarean section rate and indication of cesarean section were observed and compared. Results The results of cesarean section with scar uterus, prenatal bleeding and gestational hypertension were the main cesarean section indications. There was significant difference in cesarean section rate among all the years (P <0.05). Secondly, with social factors, Fetal distress was an indication of cesarean section, cesarean section rate in each group was statistically significant (P <0.05); the last abnormal delivery, oligohydramnios, pregnancy complications and multiple pregnancy also cesarean section However, there was no significant difference between the cesarean section rates in all the years (P> 0.05). Conclusion Social factors, scarring of the uterus is still the main reason for the increase of cesarean section rate, advocating vaginal trial production, strictly controlling indications of cesarean section and improving the quality of obstetrics.