对５１３例不合并胎儿宫内窘迫及前置胎盘的剖宫产进行回顾性分析，发现：低体重儿、大胎儿及先露较高时剖宫产产钳助产率明显增加；大胎儿、先露较高及未临产者新生儿并发症明显增加。建议：１．胎头高浮剖宫产术前应对胎儿大小、先露高低及临产情况做出正确评估，术中针对不同情况采用不同的操作方法，尽量缩短娩头时间。２．术前常规备剖宫产产钳，遇娩头困难时宜及早产钳助产 Retrospective analysis of 513 cases of cesarean section without fetal distress and placenta previa found that: low birth weight infants, large fetuses and high cesarean section forceps yield was significantly increased; large fetus, first Dew higher and non-labor neonatal complications increased significantly. Suggestions: 1. Fetal high fetal cesarean preoperative response to fetal size, the level of exposure and make a correct assessment of labor conditions, surgery for different situations using different methods of operation, as far as possible to shorten the delivery time. 2. Cesarean section preoperative routine production forceps, when the first delivery difficulties and premature delivery forceps midwifery