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目的总结7年来剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的措施。方法对鹿泉市妇幼保健院2004～2010年住院分娩的3842例剖宫产病例进行回顾性分析。结果①剖宫产率呈逐年上升趋势;②剖宫产各因素所占的比例发生了变化,社会因素、瘢痕子宫、胎儿窘迫、相对头盆不称占前四位,羊水过少、脐带缠绕呈逐年上升趋势。结论加强产前咨询服务,规范产前检查及开展无痛分娩,可降低剖宫产率;降低剖宫产率需要全社会的关注和不懈努力。
Objective To summarize the changes of cesarean section rate and cesarean section indications in the past seven years and to discuss the measures to reduce the cesarean section rate. Methods A retrospective analysis of 3842 cases of cesarean section hospitalized in Luquan Maternal and Child Health Hospital from 2004 to 2010 was conducted. Results ① The rate of cesarean section showed an upward trend year by year. ② The proportions of various factors of cesarean section had changed. Social factors, scar uterus and fetus distress, the top four relatives, the oligohydramnios, umbilical cord wound It is increasing year by year. Conclusions Strengthening prenatal counseling services, standardizing prenatal care and developing painless childbirth can reduce the rate of cesarean section. To reduce the rate of cesarean section requires the attention and unremitting efforts of the whole society.