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目的:规范剖宫产指征,降低剖宫产发生率。方法:对2004～2006年396例剖宫产进行了回顾性分析。结果:3年中平均剖宫产率为21.53%,呈逐年下降趋势。以头盆不称为指征的剖宫产率明显下降,而由于产妇心理障碍、对自然分娩的误解、医务人员回避医疗纠纷等诸多社会因素导致的非医学指征的剖腹产率逐年上升。结论:规范剖宫产指征诊断,提倡人性化分娩,提高产科质量及胎儿监护质量是降低剖宫产率,保障母婴平安的有效措施。
Objective: To standardize cesarean indications and reduce the incidence of cesarean section. Methods: A retrospective analysis of 396 cases of cesarean section between 2004 and 2006 was conducted. Results: The average rate of cesarean section in 3 years was 21.53%, showing a declining trend year by year. The cesarean section rate, which is not indicated by the tibia, decreased significantly. However, the caesarean section rate due to maternal psychological disorders, misconceptions about spontaneous childbirth, medical staff to avoid medical disputes and many other social factors increased year by year. Conclusion: It is an effective measure to reduce the rate of cesarean section and standardize the indications of cesarean section, promote humanized delivery and improve the quality of obstetrics and fetal care.