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目的探讨剖宫产率上升的相关因素及防控措施。方法对2000年1月—2011年12月进行分娩的11 842名孕产妇临床资料进行统计分析。结果 2000—2003年剖宫产率22.0%,2004—2007年剖宫产率33.8%,2008—2011剖宫产率48.9%。剖宫产影响因素2000—2003年、2004—2007年居前三位的是:难产因素、社会因素、妊娠合并症因素,2008—2011年居前三位的是:社会因素、难产因素、宫内窘迫因素。结论剖宫产率有逐渐升高的趋势,对孕产妇进行产前健康教育、规范产科医师的阴道助产技术、正确处理妊娠合并症与并发症及难产、应用分娩镇痛技术等综合防控措施降低剖宫产率。
Objective To investigate the related factors of cesarean section rate increase and its prevention and control measures. Methods The clinical data of 11 842 pregnant women who gave birth between January 2000 and December 2011 were analyzed statistically. Results Cesarean section rate was 22.0% in 2000-2003, 33.8% in 2004-2007 and 48.9% in 2008-2011. Factors influencing caesarean section The top three in 2000-2003 and 2004-2007 are: dystocia, social factors, complications of pregnancy, the top three in 2008-2011 are: social factors, dystocia factors, palace Distress factor. Conclusions The rate of cesarean section is gradually increasing. The prenatal health education for pregnant women, standardized obstetrician vaginal midwifery technique, the correct treatment of pregnancy complications and complications, labor control and labor analgesia Measures to reduce cesarean section rate.