目的　探讨 1999年 1月～ 2 0 0 0年 12月剖宫产指征的掌握情况。方法　对 949例剖宫产病例进行回顾性分析。结果　剖宫产率为 3 4.9%。主要指征依次为 :妊娠并发症 ( 2 9.6% )、相对头盆不称 ( 10 .6% )、臀位 ( 10 .2 % )、胎儿窘迫 ( 9.8% )、巨大儿( 9 .2 % )、疤痕子宫 ( 8.9% ) ,其中巨大儿的诊断符合率 67.5 % ,新生儿窒息率 6.7%。结论　提高产科医务人员对剖宫产的认识 ,正确掌握剖宫产指征 Objective To investigate the indications of cesarean section from January 1999 to December 2000. Methods 949 cases of cesarean section were retrospectively analyzed. Results Cesarean section rate was 3 4.9%. The main indications were as follows: gestational complications (9.66%), relative headlessness (10.5%), breech position (10.2%), fetal distress ), Scarring of the uterus (8.9%), with a diagnosis of giant children 67.5% coincidence, neonatal asphyxia 6.7%. Conclusion Obstetrics and gynecologists to improve awareness of cesarean section, correct grasp of indications for cesarean section