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目的探讨我院剖宫产指征的变化和降低剖宫产率的临床措施。方法对1998和2008年1 249例剖宫产资料进行回顾性分析。结果近10年来社会因素在剖宫产指征中所占的比例明显升高,同时胎儿宫内窘迫及羊水因素成为目前剖宫产的主要指征。结论社会因素是剖宫产率增加的主要因素,因此,提高对剖宫产的认识,鼓励产妇阴道分娩,正确掌握剖宫产指征是降低剖宫产率的关键。
Objective To investigate the changes of indications of cesarean section in our hospital and the clinical measures to reduce the rate of cesarean section. Methods The data of 1 249 cases of cesarean section in 1998 and 2008 were analyzed retrospectively. Results The social factors in the past 10 years in cesarean section indications in the proportion of significantly increased, while fetal distress and amniotic fluid factors have become the main indications for the current cesarean section. Conclusions Social factors are the main factors that increase cesarean section rate. Therefore, raising awareness of cesarean section and encouraging vaginal delivery of maternal women and correctly grasping cesarean section indications are the keys to reduce cesarean section rate.