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[目的]分析近5年上海市闵行区剖宫产率和剖宫产指征的变化,为制定干预措施提供依据。[方法]回顾性分析闵行区近5年妇婴卫生工作季度报表和剖宫产的临床资料。[结果]1剖宫产率仍呈上升趋势,阴道难产助产率呈下降趋势;2上海户籍孕妇剖宫产率明显高于非上海户籍孕妇,但差距逐年缩小;3剖宫产指征构成比前4位为胎儿窘迫、头盆不称、瘢痕子宫、社会因素。瘢痕子宫顺位逐年上升,2012年升为第一位,胎儿窘迫、头盆不称逐年下降,社会因素无明显变化。[结论]剖宫产率居高不下的主要原因是社会、医疗、经济等因素导致剖宫产指征的放宽。需采取综合措施积极干预,将剖宫产率控制在合理范围。
[Objective] To analyze the change of cesarean section rate and indication of cesarean section in Minhang District in Shanghai in the recent 5 years and provide the basis for making intervention measures. [Methods] The clinical data of maternal and child health quarterly report and cesarean section in Minhang district were retrospectively analyzed. [Results] 1 The rate of cesarean section still showed an upward trend and the rate of vaginal dystocia showed a decreasing trend. 2 The rate of cesarean section in Shanghai pregnant women was significantly higher than that of non-Shanghai pregnant women, but the gap narrowed year by year. 3 The indications of cesarean section Than the first 4 for fetal distress, cephalopelvic disproportion, scar uterus, social factors. The status of scar uterus increased year by year, in 2012 rose to first place, fetal distress, cephalopelvic decline year by year, no significant changes in social factors. [Conclusion] The main reason for the high cesarean section rate is the relaxation of cesarean section indications due to social, medical and economic factors. To take comprehensive measures to take active intervention, cesarean section rate control in a reasonable range.