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目的:总结近4年剖宫产率及手术指征的变化,探讨如何降低剖宫产率。方法:对2007年1月—2010年12月在河北省清河县中心医院剖宫产的7886例病例进行回顾性分析。结果:①近4年剖宫产率呈逐年上升趋势;②社会因素、疤痕子宫、难产、臀位、子痫前期、胎儿窘迫为剖宫产的主要指征,其中社会因素排在第一位,成为剖宫产率增高的主要原因。结论:加强围产期保健,提高医院产科整体质量,正确掌握剖宫产指征,将剖宫产率控制在一个较为合理的范围。
Objective: To summarize the changes of cesarean section rate and operation indications in the past 4 years, and to explore how to reduce the rate of cesarean section. Methods: A retrospective analysis of 7 886 cases of cesarean section in Qinghe Central Hospital of Hebei Province from January 2007 to December 2010 was conducted. Results: ① The incidence of cesarean section increased year by year in the past 4 years; ② Social factors, scar uterus, dystocia, breech, preeclampsia and fetal distress were the main indications of cesarean section with the social factors in the first place , Has become the main reason for increased cesarean section rate. Conclusion: To strengthen perinatal care, improve the overall quality of hospital obstetrics, correctly grasp the indications of cesarean section, control the rate of cesarean section in a more reasonable range.