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目的探讨剖宫产率升高的原因及对策。方法对我院2002年1月-2006年12月住院分娩产妇,4358例剖宫产病例进行临床分析。结果①剖宫产率是逐年上升趋势。②剖宫产各因素所占的比例发生了变化,社会因素、羊水过少、脐带绕颈、巨大儿剖宫产率上升。结论加强孕产妇围产期保健和监护,提高产时保健和助产的质量和能力,在保证母婴安全的前提下,尽量经阴道分娩,正确掌握剖宫产指征,在一定程度上可降低剖宫产率。
Objective To investigate the causes and countermeasures of cesarean section rate increase. Methods A total of 4358 cases of cesarean section in our hospital from January 2002 to December 2006 were analyzed. Results ① cesarean section rate is increasing year by year. ② cesarean section of the proportion of the factors have changed, social factors, oligohydramnios, umbilical cord around the neck, giant cesarean section rate increased. Conclusions Strengthen the perinatal care and guardianship of pregnant women, improve the quality and ability of birth-time health care and midwifery, make vaginal delivery as far as possible while ensuring the safety of mother and infant, and correctly understand the indications of cesarean section to a certain extent Reduce cesarean section rate.