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目的:了解2004年石河子市孕妇分娩方式、剖析剖宫产指征和高危因素,为指导合理的分娩方式提供依据。方法:对2004年石河子人民医院、石河子大学医学院第一附属医院、石河子妇幼保健院分娩记录共2620例进行分析。结果:①分娩方式中剖宫产率为56.87%,自然分娩占14.20%,会阴直切或侧切占26.22%,裂伤占2.21%,阴道手术产占0.05%。②剖宫产指征居于前4位的是要求手术、胎儿窘迫、臀位、头盆不称,居于前4位的高危因素是胎儿窘迫、妊高征、头盆不称、先兆子痫。③要求剖宫产的产妇中最主要的高危因素是脐带和羊水因素。④不同民族、住址、职业的孕妇选择剖宫产有差别,并与母亲年龄、生产次数和新生儿出生体重有关。结论:2004年石河子孕妇剖宫产率较高,孕妇要求剖宫产是最主要的原因。
Objective: To understand the mode of delivery of pregnant women in Shihezi City in 2004, to analyze the indications and risk factors of cesarean section, and to provide the basis for guiding the reasonable mode of delivery. Methods: A total of 2620 cases of childbirth records in Shihezi People’s Hospital, First Affiliated Hospital of Shihezi University and Shihezi Maternal and Child Health Hospital in 2004 were analyzed. Results: ① The delivery rate of cesarean section was 56.87%, spontaneous delivery accounted for 14.20%, perineal straight or lateral incision accounted for 26.22%, laceration accounted for 2.21%, vaginal surgery accounted for 0.05%. ② cesarean indications living in the top 4 is required surgery, fetal distress, breech, cephalopelvic disproportion, living in the top 4 risk factors are fetal distress, pregnancy-induced hypertension, head basin is not known, preeclampsia. ③ require maternal cesarean section of the most important risk factors are umbilical cord and amniotic fluid factors. ④ different ethnic groups, addresses, occupational pregnant women choose cesarean section are different, and with the mother’s age, the number of births and newborns birth weight related. Conclusion: The incidence of cesarean section in Shihezi pregnant women was high in 2004, and cesarean section was the most important reason for pregnant women.