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目的探讨剖宫产率上升的相关因素及防控。方法我院2009～2011年度分娩的产妇2989例,观察产妇分娩方式并进行分析。结果 2989例产妇,剖宫产1585例,剖宫产率53.02%;剖宫产指征中难产415例(26.18%),胎儿宫内窘迫205例(12.93%),瘢痕子宫280例(17.66%),臀位44例(2.77%),妊娠并发症60例(3.78%),社会因素464(29.27%),其他100例(6.30%)。结论降低剖宫产率是迫在眉睫的问题,医务人员应严格掌握剖宫产指征,合理使用剖宫产,将剖宫产率控制在合情、合理的范围内,保障母婴健康。
Objective To investigate the related factors of cesarean section rate increase and its prevention and control. Methods A total of 2989 mothers were delivered in our hospital from 2009 to 2011. Obstetric delivery modes were observed and analyzed. Results A total of 2,989 mothers, 1585 cesarean sections and 53.02% cesarean section were included in this survey. Among the cesarean sections, 415 (26.18%) were dificult, 205 (12.93%) were fetal distress, 280 (17.66% ), 44 breech cases (2.77%), pregnancy complications in 60 cases (3.78%), social factors 464 (29.27%) and the other 100 cases (6.30%). Conclusions Reducing the rate of cesarean section is an urgent problem. Medical staff should strictly observe the indications of cesarean section, reasonably use cesarean section and control the rate of cesarean section within reasonable and reasonable limits to ensure the health of mother and baby.