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目的:探讨铜仁地区人民医院2006年1月至12月份剖宫产指征掌握情况及寻求降低剖宫产率的途径。方法:对该院312例剖宫产病例进行回顾性分析。结果:剖宫产率为56.32%。主要指征构成依次为:妊娠并发症(22.44%)、社会因素(16.03%)、胎儿宫内窘迫(15.54%)、相对性头盆不称(11.22%)、胎位异常(10.26%)、妊娠合并肝内胆汁淤积症(6.41%)、疤痕子宫(5.45%)、妊娠合并症(4.45%)、巨大儿(3.85%)、高龄初产(3.55%)、骨盆异常(2.56%)、珍贵儿(2.24%)等。结论:严格掌握剖宫产指征,提高助产技术质量,加强孕产妇及家属对剖宫产的认识,提供陪伴分娩和分娩镇痛,有望降低剖宫产率。
Objective: To investigate the indications and masters of cesarean section in People’s Hospital of Tongren from January to December 2006 and to seek ways to reduce the rate of cesarean section. Methods: 312 cases of cesarean section in this hospital were retrospectively analyzed. Results: Cesarean section rate was 56.32%. The main indications were as follows: complications of pregnancy (22.44%), social factors (16.03%), fetal distress (15.54%), relative head basin irregularity (11.22%), fetal position abnormality (6.41%), uterine scar (5.45%), pregnancy complications (4.45%), macrosomia (3.85%), advanced age (3.55%), pelvic anomalies (2.56%), (2.24%) and so on. Conclusion: Cesarean section indications strictly to improve the quality of midwifery technology, strengthen the understanding of pregnant women and their families on caesarean section, to provide companion and labor analgesia, is expected to reduce the rate of cesarean section.