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目的 :分析我院 2年来剖宫产的指征 ,为降低剖宫产率寻求依据。方法 :对我院所做 5 2 7例剖宫产指征进行回顾性分析。结果 :剖宫产率为 34 .4%。主要手术指征为 :妊娠并发症 2 1.4% ,社会因素 (包括脐绕颈要求手术 ) 2 0 .8% ,胎儿窘迫 17.6 % ,臀位 11% ,胎头位置异常 9.2 % ,头盆不称 7.4% ,新生儿窒息率 5 .1% ,新生儿病死率 0。结论 :应提高医护人员对剖宫产的认识从而进一步正确掌握剖宫产手术指征
Objective: To analyze the indications of cesarean section in our hospital in the past two years and to find the basis for reducing the rate of cesarean section. Methods: 527 cases of cesarean section indications in our hospital were retrospectively analyzed. Results: Cesarean section rate was 34.4%. The main indications for surgery were: pregnancy complications of 1.4%, social factors (including umbilical cord neck surgery) 20.8%, fetal distress 17.6%, breech 11%, abnormal fetal head position 9.2% 7.4%, neonatal asphyxia rate of 5.1%, neonatal mortality rate of 0. Conclusion: It is necessary to raise awareness of cesarean section by medical staff to further correctly understand the indications for cesarean section operation