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目的 :分析剖宫产指征 ,探讨不合理剖宫产与剖宫产率的关系。方法 :采用横断面研究的方法 ,分析北京大学两家附属医院 1998年的剖宫产指征 ,比较剖宫产率不同的两家医院不合理剖宫产情况。结果 :剖宫产率、不合理剖宫产率、单纯医生因素的不合理剖宫产率在两家医院间差异有显著性 (P <0 .0 5 ) ,而围产儿死亡率、孕妇要求的不合理剖宫产率两院间差异无显著性 (P =0 .6 48与P =0 .40 3)。结论 :不合理剖宫产是造成高剖宫产率的重要原因
Objective: To analyze the indications of cesarean section and to explore the relationship between unreasonable cesarean section and cesarean section rate. Methods: The method of cross-sectional study was used to analyze the cesarean section indications of two affiliated hospitals of Peking University in 1998 and to compare unreasonable cesarean section in two hospitals with different cesarean section rates. Results: The rate of cesarean section, unreasonable cesarean section rate and unreasonable cesarean section rate were significantly different between the two hospitals (P <0.05), while the perinatal mortality rate and pregnant women ’s requirement The unreasonable cesarean section rate was no significant difference between the two houses (P = 0.488 and P = 0.403). Conclusion: unreasonable cesarean section is an important cause of high cesarean section rate