目的:探讨如何降低因产科因素的子宫切除术及并发症、剖宫产率。方法:对该院20年间所做的产科子宫切除术做了回顾性总结分析。结果:产科因素子宫切除发生率为0.09%。剖宫产子宫切除占0.9%。子宫切除主要原因为:胎盘因素占66.05%,子宫收缩乏力占19.05%。结论:多次人工流产、刮宫、中期引产可导致胎盘因素的子宫切除。产科并发症可引起子宫收缩乏力,发生出血性休克、DIC致子宫切除。剖宫产率的增高,子宫切除发生率也增高。要加强计划生育、避孕措施。做好高危产妇的监测,正确掌握剖宫产指征,及提高处理产科并发症的能力,可有效的降低产科子宫切除的发生率。 Objective: To explore how to reduce the rate of cesarean section and complications due to obstetric factors. Methods: The hospital made 20 years of hysterectomy made a retrospective analysis. Results: The incidence of obstetric hysterectomy was 0.09%. Cesarean section hysterectomy accounted for 0.9%. Hysterectomy is mainly due to: placental factors accounted for 66.05%, uterine atony 19.05%. Conclusions: Multiple abortion, curettage and mid-term induction of labor can lead to placental hysterectomy. Obstetric complications can cause uterine atony, hemorrhagic shock, DIC hysterectomy. Cesarean section rate increases, the incidence of hysterectomy also increased. To strengthen family planning, contraceptive measures. Good monitoring of high-risk maternal, correct grasp of indications for cesarean section, and improve the ability to handle obstetric complications, which can effectively reduce the incidence of obstetric hysterectomy.