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目的:分析2004年该院剖宫产手术指征及新生儿窒息原因,探讨降低新生儿窒息的措施。方法:回顾性分析357例剖宫产手术与71例新生儿窒息病历资料。结果:以头盆不称、社会因素、胎位不正、胎儿宫内窘迫为指征的剖宫产占总体剖宫产的66%,是剖宫产的主要指征。引起新生儿窒息的主要原因分别为:臀位牵引、胎儿宫内窘迫、头盆不称、脐带因素。结论:及时把握剖宫产手术指征,在保护孕产妇和降低新生儿窒息发生率的前提下,降低剖宫产率。
Objective: To analyze the indications for cesarean section in 2004 and the causes of neonatal asphyxia in this hospital and to discuss the measures to reduce neonatal asphyxia. Methods: A retrospective analysis of 357 cases of cesarean section and 71 cases of neonatal asphyxia medical records. Results: The cesarean section, which accounts for 66% of the total cesarean section, was cesarean section, with cesarean section as the indicator of fetal headache, social factors, malposition of the fetus, and fetal distress. The main causes of neonatal asphyxia were: breech traction, fetal distress, cephalopelvic disproportion, umbilical cord factors. Conclusion: To grasp the indications of cesarean section in time and to reduce the rate of cesarean section under the premise of protecting pregnant women and reducing the incidence of neonatal asphyxia.