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目的:总结观察剖宫产率及剖宫产指征的变化趋势。方法:对1995~2007年嵊泗县人民医院的剖宫产率及剖宫产指征变化进行回顾性分析。结果:1995~2002年剖宫产率逐步上升,在2003年达到高峰,2004年后有所控制。在剖宫产指征中,前11年难产始终占第1位。社会因素所致剖宫产率在2003年后明显升高,近两年已成为第1位剖宫产指征。结论:剖宫产率的上升是多方面因素造成的,其中社会因素是主要原因之一,降低剖宫产率的关键是严格掌握剖宫产指征,尽量减少因社会因素而行剖宫产的产妇数量。
Objective: To summarize the changes of cesarean section rate and cesarean section indications. Methods: The changes of cesarean section rates and cesarean section indications from Shengsi People’s Hospital from 1995 to 2007 were retrospectively analyzed. Results: The rate of cesarean section increased gradually from 1995 to 2002, reached a peak in 2003 and was controlled after 2004. Indications in the cesarean section, the first 11 years always accounted for the first dystocia. Social factors caused by cesarean section rate increased significantly after 2003, the past two years has become the first cesarean indications. Conclusion: The rise of cesarean section rate is caused by many factors, among which the social factor is one of the main reasons. The key to reduce the rate of cesarean section is to strictly control the indication of cesarean section and minimize the incidence of cesarean section due to social factors The number of mothers.