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目的:通过分析松江区2010年活产儿剖宫产指征的特征,了解剖宫产率升高的原因,探讨降低剖宫产率的对策。方法:采用描述流行病学方法,分析2010年松江区剖宫产分娩的活产儿监测资料。结果:2010年松江区剖宫产率为53.18%,剖宫产存在明显的人为选择现象,首位指征是社会因素,社会因素选择剖宫产的孕妇择期手术时间比例高。结论加强孕产期保健,开展孕产期健康教育,严格掌握剖宫产指征,选择科学合理的分娩方式。
Objective: To analyze the characteristics of cesarean section indications of live births in Songjiang district in 2010 to find out the causes of cesarean section rate increase, and to explore the strategies to reduce the rate of cesarean section. METHODS: Descriptive epidemiological methods were used to analyze the monitoring data of live births delivered by cesarean section in Songjiang District in 2010. Results: In 2010, the rate of cesarean section in Songjiang District was 53.18%. Cesarean section had a significant artificial selection phenomenon. The first indication was social factors. The proportion of elective cesarean section in social factors was high in selective operation time. Conclusion Strengthen maternal health care, carry out health education during pregnancy, strict indications of cesarean section, choose a scientific and reasonable mode of delivery.