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目的分析兰陵县剖宫产率升高原因,探讨降低剖宫产率的对策。方法回顾性分析2009-2014年兰陵县人民医院住院分娩的14 110名产妇的临床资料,统计剖宫产人数,计算剖宫产率,分析剖宫产率升高的原因,并探讨降低剖宫产率对策。结果 2009-2014年,兰陵县剖宫产率呈明显上升趋势,从2009年的31.4%上升至2014年的41.8%,其中社会因素、胎儿窘迫是剖宫产的主要指征,所占比例逐年上升。结论剖宫产率上升的主要原因是无医学指征的社会因素导致的,加强产妇及家属的产前健康教育和产妇产前检查,是降低剖宫产率的关键。
Objective To analyze the causes of cesarean section rate in Lanling County and to explore the strategies to reduce the rate of cesarean section. Methods The clinical data of 14 110 pregnant women hospitalized in Lanling County People’s Hospital from 2009 to 2014 were analyzed retrospectively. The number of cesarean section was counted, the cesarean section rate was calculated, the reason of cesarean section rate was analyzed, Palace yield measures. Results In 2009-2014, the rate of cesarean section in Lanling County increased significantly from 31.4% in 2009 to 41.8% in 2014. Among them, social factors and fetal distress were the main indications of cesarean section, the proportion of which Increased year after year. Conclusions The main reason for the rising rate of cesarean section is the result of social factors without medical indications. Strengthening prenatal health education and antenatal check-up for mothers and their families is the key to reduce the rate of cesarean section.