目的分析我院产科剖宫产率上升的原因,探讨降低剖宫产率的对策。方法对127例剖宫产的病例进行回顾性分析。结果平均剖宫产率为26.96%。主要指征依次为:胎儿窘迫37.79%,社会因素25.98%,妊娠并发症合并症15.75%,持续性枕后位和/或横位9.45%,臀位3.94%,巨大儿3.15%,珍贵儿3.15%,高龄初产0.79%。结论胎儿窘迫、社会因素是剖宫产率增加的主要原因,处理难产,严格掌握剖宫产指征,提倡责任助产,进行心理调控是降低剖宫产率,提高产科质量的关键。 Objective To analyze the causes of cesarean section rate increase in our hospital and to explore the strategies to reduce the rate of cesarean section. Methods 127 cases of cesarean section were retrospectively analyzed. Results The average cesarean section rate was 26.96%. The main indications were: fetal distress 37.79%, social factors 25.98%, complications of pregnancy complications 15.75%, persistent posterior occipital and / or transverse 9.45%, breech 3.94%, giant children 3.15%, precious 3.15% %, Early primipara 0.79%. Conclusion Fetal distress and social factors are the main reasons for the increase of cesarean section rate. It is the key to reduce the rate of cesarean section and improve the quality of obstetrics by treating dystocia, strictly controlling indications of cesarean section, advocating responsible midwifery and psychological adjustment.