目的:总结天津市滨海新区大港妇女儿童保健中心3年来剖宫产率及剖宫产指征的变化,探讨降低剖宫产率的方法。方法:对2009年1月～2011年12月分娩的4 080例产妇的临床资料进行回顾性分析。结果:①近3年来该院剖宫产率呈明显下降趋势,2011年剖宫产率为44.3%,较2009年72.6%显著下降。②剖宫产指征构成比发生明显变化,社会因素所占比例由2009年的42.0%,降至2011年的4.1%。结论:社会因素是导致剖宫产率居高不下的主要原因,避免非医学指征的剖宫产手术是降低剖宫产率的重要措施。 OBJECTIVE: To summarize the changes of cesarean section rate and cesarean section indications in Dagang Women and Children’s Health Center of Binhai New Area in Tianjin in the past three years, and to explore ways to reduce the cesarean section rate. Methods: The clinical data of 4 080 maternal women who gave birth between January 2009 and December 2011 were analyzed retrospectively. Results: ① The cesarean section rate of the hospital showed a significant downward trend in the recent 3 years. The cesarean section rate in 2011 was 44.3%, which was significantly lower than 72.6% in 2009. ② The cesarean section showed significant changes in the composition ratio, the proportion of social factors from 42.0% in 2009, down to 4.1% in 2011. Conclusion: Social factors are the main reasons leading to high cesarean section rate. Cesarean section to avoid non-medical indications is an important measure to reduce cesarean section rate.