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目的:探讨湘西地区剖宫产率居高不下的相关因素。方法:回顾分析统计一年来4所不同级别,不同性质医院剖宫产现状及指征。结果:4所医院平均剖宫产率为64.2%,明显超出WHO规定的15%以下。剖宫产指征前4位因素为:胎儿窘迫、头位难产、瘢痕子宫、社会因素。结论:剖宫产率居高不下的原因有主观和客观诸多因素,规范剖宫产指征诊断,提倡人性化分娩,提高产科质量及胎儿监护质量,加强责任心,加大孕期宣教力度,创建和谐医患关系,严格产科准入制度是降低剖宫产率,保障母婴平安的有效措施。
Objective: To explore the related factors of cesarean section rate in western Hunan Province. Methods: A retrospective analysis was made on the status and indications of cesarean section in 4 hospitals of different grades and different types in the past year. Results: The average rate of cesarean section in four hospitals was 64.2%, which was significantly below the WHO standard of 15%. Cesarean indications before the four factors are: fetal distress, head dystocia, scar uterus, social factors. Conclusion: The reasons for the high cesarean section rate are subjective and objective factors, which can regulate the indications of cesarean section, promote humanized delivery, improve the quality of obstetrics and the quality of fetus monitoring, strengthen the sense of responsibility, increase the propaganda during pregnancy and create Harmonious doctor-patient relationship, strict obstetric access system is to reduce the rate of cesarean section, to protect the safety of mother and child effective measures.