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目的:分析剖宫产率上升的原因,探讨降低剖宫产率的对策。方法:对15年来剖宫产情况进行回顾性分析。结果:15年来剖宫产率逐年上升,其中社会因素所致的上升最为明显;难产(包括骨盆狭窄、头盆不称、巨大儿、胎头位置异常、产程异常等)是剖宫产的另一重要原因,胎吸产钳数逐年减少。结论:加强孕期保健,正确处理难产,严格掌握剖宫产指征,提倡责任制助产、导乐分娩,进行心理调控,建立良好的医患关系是降低剖宫产率、提高产科质量的关键。
Objective: To analyze the reason of the rising rate of cesarean section and to discuss the countermeasure to reduce the rate of cesarean section. Methods: The 15-year cesarean section was retrospectively analyzed. Results: The incidence of cesarean section increased year by year in 15 years, of which social factors caused the most obvious increase; dystocia (including pelvic stenosis, cephalopelvic disproportion, macrosomia, fetal head position abnormalities, labor abnormalities, etc.) is the cesarean section of the other An important reason, fetal suction forceps decreased year by year. Conclusion: To strengthen the pregnancy care, correctly handle the dystocia, strictly control the indications of cesarean section, advocate responsibility midwifery, lead music delivery, psychological adjustment and establish a good doctor-patient relationship is the key to reduce cesarean section rate and improve obstetrics quality .