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目的了解1985~1988年间1386例剖宫产指征构成及医生对剖宫产指征的掌握情况。方法对6年间1386例剖宫产病例进行回顾性分析。结果剖宫产率为44.60%,主要指征依次为:羊水过少(21.0%),头位难产(15.95%),胎儿窘迫(13.28%),疤痕子宫(11.83%),社会因素(8.15%),臀位(7.14%),胎膜早破(4.91%),脐带绕颈(2.89%),其中臀位的剖宫产率为98.3%,疤痕子宫的剖宫产率为98.7%。结论产科医生要不断自我完善,加强专业技能的培训,提高阴道助产技术,避免剖宫产指征扩大化,降低剖宫产率。
Objective To understand the composition of 1386 cases of cesarean section indications from 1985 to 1988 and the doctors’ indications of cesarean section. Methods 1386 cases of cesarean section were retrospectively analyzed in 6 years. Results The rate of cesarean section was 44.60%. The main indications were as follows: oligohydramnios (21.0%), head dystocia (15.95%), fetal distress (13.28%), uterus scar (11.83%), social factors ), Breech (7.14%), premature rupture of membranes (4.91%) and cord around the neck (2.89%). The rate of cesarean section was 98.3% in the breech position and 98.7% in the cesarean scar. Conclusion Obstetricians should continue to improve themselves, strengthen professional skills training, improve vaginal delivery techniques, to avoid the expansion of indications of cesarean section and reduce the rate of cesarean section.