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目的:探讨控制剖宫产率的措施,为提高产科质量提供依据。方法:对涉县医院1998年1月~2007年12月的分娩数及剖宫产率的变化进行比较。随机抽取2002年和2007年的剖宫产病历,观察剖宫产指征的变化。结果:剖宫产率逐年递增,2007年剖宫产率高达30.20%。剖宫产递增的原因主要是要求剖宫产、瘢痕子宫。结论:要求剖宫产(社会因素)是剖宫产率递增的主要原因,也是手术并发症增加的主要因素之一。
Objective: To explore the measures to control the rate of cesarean section and provide the basis for improving the quality of obstetrics. Methods: The changes of birth number and cesarean section rate in Shexian Hospital from January 1998 to December 2007 were compared. Cesarean section records were randomly selected from 2002 and 2007 to observe the changes in cesarean section indications. Results: Cesarean section rate increased year by year, in 2007 the cesarean section rate as high as 30.20%. Cesarean increase is mainly due to cesarean section, scar uterus. Conclusion: Cesarean section (social factor) is the main reason for the increase of cesarean section rate and one of the main factors for the increase of operative complications.