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目的分析河南扶沟县2007~2013年剖宫产率及各项剖宫产指征的变化原因,探讨降低剖宫产率的对策。方法对2007~2013年扶沟县妇幼保健院5 606例剖宫产产妇进行回顾性分析。结果剖宫产率呈逐年上升趋势,社会因素、瘢痕子宫、胎儿宫内窘迫、巨大儿为剖宫产主要指征,且比例逐年上升,其中社会因素上升最快;以胎位异常、妊娠合并症、产程异常为剖宫产指征的比例逐年下降。结论严格掌握剖宫产指征,减少因社会因素而行的剖宫产,提高产科质量,广泛开展分娩镇痛是降低剖宫产率的关键。
Objective To analyze the causes of cesarean section rate and cesarean section indications in Fugou County of Henan Province from 2007 to 2013 and to explore the strategies to reduce the rate of cesarean section. Methods A retrospective analysis of 5 606 cesarean section mothers in Fugou MCH from 2007 to 2013 was conducted. Results The incidence of cesarean section showed an upward trend year by year. Social factors, scar uterus, fetal distress, macrosomia were the main indications of cesarean section, and the proportion increased year by year, of which social factors rose fastest; abnormal fetal position, pregnancy complications , Labor abnormalities as the proportion of cesarean indications decreased year by year. Conclusions Strict control of cesarean section indications, reduction of cesarean section due to social factors, improvement of obstetric quality, and extensive labor analgesia are the keys to reduce cesarean section rate.