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目的:分析剖宫产指征变迁的原因,总结降低剖宫产率的相关对策。方法:选取2010年1月~2013年12月在我院妇产科分娩的1150例产妇作为研究对象,对其临床资料进行回顾性分析。结果:我院2010~2013年间的剖宫产率有明显的上升趋势,近4年的急诊剖宫产率无显著变化,但择期剖宫产率有明显的上升趋势。难产所占比例,有明显的下降趋势,胎儿窘迫、妊娠合并症、其他因素、臀位所占比例均明显变化。社会因素比例、瘢痕子宫比例均有明显上升趋势。结论:剖宫产指征的变迁主要与瘢痕子宫和社会因素有关,人们对剖宫产认知不足是近年来无医学指征剖宫产发生率上升的根本原因。
Objective: To analyze the causes of cesarean section indications and to summarize the related measures to reduce the rate of cesarean section. Methods: From January 2010 to December 2013 in our hospital obstetrics and gynecology delivery of 1150 cases of maternal as the research object, its clinical data were retrospectively analyzed. Results: The rate of cesarean section increased significantly in our hospital from 2010 to 2013. There was no significant change in the rate of cesarean section in the past four years. However, the rate of elective cesarean section showed a significant upward trend. The proportion of dystocia, there is a clear downward trend, fetal distress, pregnancy complications, other factors, breech ratio were significantly changed. The proportion of social factors, the proportion of uterus scar had a clear upward trend. Conclusion: The changes of indications of cesarean section are mainly related to scarring uterus and social factors. People ’s cognition of cesarean section is the root cause of the rising incidence of cesarean section without medical indications in recent years.