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目的剖析剖宫产率增高的主要影响因素,分析剖宫产指征的合理性,为制定降低剖宫产率的具体措施提供临床资料。方法对2004年1月至2006年12月间我院产科4439例剖宫产的病例进行回顾性分析。结果3年间居前6位的剖宫产指征依次为:相对头盆不称,胎儿宫内窘迫,社会因素,羊水过(或偏)少,胎膜早破,瘢痕子宫。其中社会因素,瘢痕子宫是剖宫产率增高的主要原因,胎儿宫内窘迫,B超发现羊水过(或偏)少,脐带绕颈是剖宫产率增高的重要因素。结论孕产妇及医生的主观意愿影响着分娩方式的合理选择,导致剖宫产指征远远超过医学指征的范围,造成过高的剖宫产率。
Objective To analyze the main influencing factors of cesarean section rate increase, analyze the rationality of cesarean section indications, and provide clinical data for making specific measures to reduce cesarean section rate. Methods From January 2004 to December 2006, 4439 cases of cesarean section in our hospital were retrospectively analyzed. Results The top 6 cesarean section indications in the three years were as follows: the relative head basin is not known, fetal distress, social factors, oligohydramnios, premature rupture of membranes, scar uterus. One of the social factors, scarring uterus is the main reason for increased cesarean section rate, fetal distress, B-found amniotic fluid (or partial) less, umbilical cord around the neck is an important factor in cesarean section rate. Conclusion The subjective wishes of pregnant women and doctors affect the rational choice of mode of delivery, leading to indications of cesarean section far beyond the scope of medical indications, resulting in excessive cesarean section rate.