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目的分析导致剖宫产的各种社会因素,减少不必要的手术创伤及母儿并发症,降低剖宫产率。方法采用回顾性分析的方式对2005.1～12间1472例剖宫产的资料进行分析。结果社会性因素剖宫产者197例(13.38%),其中知识分子127(64.47%);医务人员家属或朋友68例(34.52%);未临产或潜伏期剖宫产者158例(80.20%);产后3天内乳汁分泌量少于经阴道分娩者167例(84.77%);剖宫产手术大出血21例(10.66%);切口感染5例(2.45%),仰卧位综合症8例(4.06%),新生儿窒息9例(4.57%),肺炎4例(2.03%)。结论剖宫产社会因素包括主观意愿,医患方因素等。严格剖宫产指征,创造选择阴道分娩的良好社会环境,降低剖宫产率。
Objective To analyze the various social factors that lead to cesarean section, to reduce unnecessary surgical trauma and complications of mother and child and to reduce the rate of cesarean section. Methods A retrospective analysis of the way from 2005.1 to 12 cases of 1472 cases of cesarean section were analyzed. Results Social factors Cesarean section in 197 cases (13.38%), of which intellectuals 127 (64.47%); 68 cases of medical staff members or friends (34.52%); uncovered or latent cesarean section in 158 cases (80.20% ; Milk secretion within 3 days after delivery less than vaginal delivery in 167 cases (84.77%); cesarean section in 21 cases of bleeding (10.66%); incision infection in 5 cases (2.45%) supine syndrome in 8 cases (4.06% ), Neonatal asphyxia in 9 cases (4.57%) and pneumonia in 4 cases (2.03%). Conclusion Social factors of cesarean section include subjective intention, doctor-patient factors and so on. Cesarean section strictly indications, to create a good social environment to choose vaginal delivery, reduce cesarean section rate.