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目的探究10年内剖宫产率、指征变化与围生儿病死率间的联系。方法选取花都区妇幼保健院胡忠医院2003年4月-2012年4月41 477例分娩产妇,接受剖宫产分娩的15 659例,回顾性分析其分娩方式、手术指征、围生儿病死率等数据。结果 2003-2012年剖宫产率逐年上升,新生儿窒息导致疾病的发生率显著下降并逐步稳定,围生儿病死率没有显著变化;妊娠并发症与社会因素是剖宫产指征的主要影响因素。结论由于妊娠并发症与社会因素等多种因素的影响,致使剖宫产发生率明显提高,围生儿的病死率显著下降,达到一定水平后,围生儿病死率不会随剖宫产率的上升而降低。
Objective To explore the relationship between cesarean section rate, indication change and perinatal mortality in 10 years. Methods Huazhong District Maternal and Child Health Hospital of Huazhong Hospital from April 2003 to April 2012 41 477 cases of childbirth and cesarean delivery of 15 659 cases were analyzed retrospectively the mode of delivery, surgical indications, perinatal Fatality rate and other data. Results The incidence of cesarean section increased year by year from 2003 to 2012. The incidence of neonatal asphyxia caused the disease decreased significantly and gradually stabilized. The perinatal mortality did not change significantly. The complications of pregnancy and social factors were the main influence of cesarean indications factor. Conclusion Due to the complications of pregnancy and social factors and other factors, the incidence of cesarean section increased significantly, and the mortality of perinatal children decreased significantly. After reaching a certain level, the perinatal mortality did not change with the rate of cesarean section Increase and decrease.