目的:分析剖宫产指征构成及原因。方法:对宗汉医院2005~2009年1 750例剖宫产病例进行回顾性分析。结果:剖宫产率为36.10%,主要指征前五位依次为社会因素、胎儿宫内窘迫、头盆不称、臀横位、羊水过少,其中社会因素本地孕妇剖宫产率达89.61%,臀横位外地流动人口剖宫产率87.20%。社会因素的孕妇中,以害怕疼痛、担心难产而急诊剖宫产为主要原因。结论:应加强围产期保健,减少妊娠合并症,及时纠正臀横位,严格掌握剖宫产指征,降低剖宫产率。 Objective: To analyze the causes of cesarean section indications. Methods: A retrospective analysis of 1750 cases of cesarean section in Zonghan Hospital from 2005 to 2009 was conducted. Results: The rate of cesarean section was 36.10%. The first five major indications were social factors, fetal distress, cephalopelvic disproportion, hip transverse position and oligohydramnios. Among them, the social factors of local pregnant women’s cesarean section rate was 89.61 %, Cesarean section floating population cesarean section rate of 87.20%. Social factors in pregnant women, to fear of pain, worry about dystocia and emergency cesarean section as the main reason. Conclusion: Perinatal health care should be strengthened to reduce pregnancy complications, timely correction of hip transverse position, strict indications of cesarean section and reduce the rate of cesarean section.