本文对１０３２例剖宫产指征进行回顾性分析。剖宫产率为１６．３８％（１０３２／６３０２），以胎儿宫内窘迫居首，占指征的２４．８％。其次为臀位，占指征的２１．０２％。第三位为骨盆狭窄，占指征的１８．３％。羊水过少居第四位，占指征的９．７９％。剖宫产围产儿病死率为８．６２‰。文中对各指征进行了较详尽细致的探讨，以便在临床实践中准确及时地识别剖宫产指征，这样既有利于减少围产儿死亡，又有利于降低剖宫产术的并发症 This article retrospectively analyzed 1032 cesarean indications. Cesarean section rate was 16.38% (1032/6302), with fetal distress first, accounting for 24.8% of indications. Followed by breech, accounting for 21.02% of indications. The third is pelvic stricture, accounting for 18.3% of indications. Oligohydramnios ranks fourth, accounting for 9.79% of indications. Cesarean section perinatal mortality was 8.62 ‰. In this paper, the indications were discussed in more detail, in order to accurately and timely identify cesarean indications in clinical practice, which is not only conducive to reducing perinatal death, but also help to reduce the complications of cesarean section