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目的:对我院剖宫产率升高的原因进行分析。方法:对2010年8月～2011年8月期间在我院进行剖宫产的635例产妇的临床资料进行回顾性研究,并对其进行剖宫产的原因进行归纳和分析。结果:在这635例产妇进行剖宫产的原因中,排在前五位的原因分别是:产妇以前进行过剖宫产(22.1%)、胎儿出现了宫内窘迫(18.5%)、胎儿的头部过大(17.3%)、产妇的个人因素(14.2%)、胎儿为臀位(11.8%)。在这5种因素中,除产妇的个人因素以外,其他4种因素所占比例的升高都与临床医生人为地放宽剖宫产的手术指征有关。结论:临床医生人为地放宽剖宫产手术指征和产妇的个人因素是导致我院剖宫产率上升的主要原因。
Objective: To analyze the causes of cesarean section rate increase in our hospital. Methods: A retrospective study was conducted on the clinical data of 635 mothers who underwent cesarean section in our hospital from August 2010 to August 2011. The causes of cesarean section were summarized and analyzed. Results: Among the 635 maternal reasons for caesarean section, the top five causes were cesarean section (22.1%), intrauterine distress (18.5%), fetus Head was too large (17.3%), maternal personal factors (14.2%), fetal breech (11.8%). Among the five factors, except for the personal factors of maternal, the increase of the other four factors is related to the clinician’s artificially relaxing cesarean section indications. Conclusion: Clinicians to artificially relax cesarean section indications and maternal personal factors is the main reason for the rise of cesarean section in our hospital.