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目的:对本院3094例剖宫产手术病例展开综合性分析,了解其指征构成,并对剖宫产指征的正确掌握展开探讨。方法:选择南涧县妇幼保健院2008年1月～2012年12月期间行剖宫产手术的3094例患者为研究对象,回顾性分析其临床资料。结果:依照比例,本次研究中剖宫产指征分别为:胎儿窘迫583例,头位难产507,疤痕子宫461例,胎位不正349例,社会因素324例,脐绕颈321例,其他127例,妊娠合并症113例,胎膜早破91例,妊高症62例,双胎31例,珍贵儿53例,前置胎盘52例。结论:要使剖宫产率得到有效降低,组织孕妇进行产前学习,展开孕妇知识培训与孕妇家属教育,引导孕妇对阴道分娩以及剖宫产手术相关知识加以详细了解,医务人员应对剖宫产指征予以严格把握,对产程的观察及处理应予以足够重视,有效提高产科服务质量水平。
Objective: To analyze the 3094 cases of cesarean section in our hospital, analyze the constitution of the indications, and discuss the correct control of indications of cesarean section. Methods: 3094 patients who underwent cesarean section in Nanjian Maternal and Child Health Hospital from January 2008 to December 2012 were selected as the research object, and the clinical data were retrospectively analyzed. Results: According to the proportions, the indications of cesarean section in this study were 583 cases of fetal distress, 507 cases of head dystocia, 461 cases of uterine scar, 349 cases of abnormal fetal position, 324 cases of social factors, 321 cases of umbilicus around the neck and 127 cases of other 127 Cases, 113 cases of pregnancy complications, 91 cases of premature rupture of membranes, pregnancy-induced hypertension in 62 cases, 31 twins, precious children in 53 cases, 52 cases of placenta previa. Conclusion: In order to effectively reduce the rate of cesarean section, prenatal study of pregnant women, pregnant women to carry out knowledge training and family education of pregnant women to guide pregnant women on vaginal delivery and caesarean section knowledge to understand in detail, medical staff should cesarean section Indications to be strictly controlled, observation and treatment of labor should be given enough attention to effectively improve the quality of obstetric services.