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目的:探讨剖宫产率升高的原因及剖宫产指征,并提出相关解决措施。方法:回顾性分析广东省妇幼保健院2000～2009年共15 177例剖宫产产妇的剖宫产指征及同期产科质量。结果:①剖宫产率呈逐年上升的趋势,从2000年的33.70%上升至2009年的53.22%(P<0.001);新生儿窒息率、产后出血率则呈下降趋势。②在剖宫产指征构成比中,社会因素位居首位,疤痕子宫、胎儿宫内窘迫呈上升趋势。结论:剖宫产率上升是由多种因素造成的,控制剖宫产率需要孕妇、家庭、医生、医院及整个社会的积极配合。
Objective: To investigate the causes of cesarean section rate increase and cesarean section indications, and to propose relevant solutions. Methods: A retrospective analysis of maternal and child health centers in Guangdong Province from 2000 to 2009, a total of 15 177 cesarean section cesarean section indications and obstetric quality. Results: ①The rate of cesarean section increased year by year, from 33.70% in 2000 to 53.22% in 2009 (P <0.001). Neonatal asphyxia and postpartum hemorrhage rate showed a decreasing trend. ② cesarean indications constitute the ratio of social factors ranked first, the scar of the uterus, fetal distress is on the rise. Conclusion: The increase of cesarean section rate is caused by many factors. Controlling the rate of cesarean section requires the active cooperation of pregnant women, families, doctors, hospitals and the whole society.