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目的分析边远山区卫生院剖宫产的现状,探讨剖宫产率增高的原因和对策。方法对本院2012年1月至2014年12月250例剖宫产资料进行回顾性分析。结果 3年来剖宫产率分别为17%、19.6%、25%,呈逐年上升趋势。剖宫产率上升的主要原因有胎儿窘迫、产程异常、疤痕子宫、社会因素等。结论提高医务人员的产科理论知识和临床操作能力,加强围产保健,向孕妇宣传自然分娩的好处,全面评价剖宫产的利弊,正确掌握剖宫产指征,有助于降低剖宫产率。
Objective To analyze the status of cesarean section in remote mountainous hospitals and to explore the causes and countermeasures of cesarean section rate increase. Methods The data of 250 cases of cesarean section from January 2012 to December 2014 in our hospital were analyzed retrospectively. Results The rates of cesarean section in the past three years were 17%, 19.6% and 25% respectively, showing an increasing trend year by year. Cesarean section rate increased mainly due to fetal distress, labor abnormalities, uterine scarring, social factors. Conclusions It is helpful to improve the theoretical knowledge of obstetrics and clinical operation, enhance the perinatal care, promote the benefits of natural childbirth to pregnant women, evaluate the pros and cons of cesarean section in an all-round way and correct the indications of cesarean section, which will help to reduce the cesarean section rate .