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目的分析剖宫产指征的影响因素,探讨降低剖宫产率的措施。方法对2010年1月～12月南通市278例剖宫产进行回顾性分析,比较各项剖宫产指征的构成比。结果剖宫产率62.19%,其中主要指征为社会因素占49.64%,疤痕子宫占7.91%,胎儿窘迫占7.19%,头盆不称5.03%等。结论社会因素在剖宫产指征中占首位,是造成剖宫产率上升的主要原因。正确宣传阴道分娩,科学选择分娩方式,提高产科助产技术,严格掌握剖宫产指征,才能有效降低剖宫产率。
Objective To analyze the influencing factors of cesarean section indications and to explore the measures to reduce cesarean section rate. Methods A retrospective analysis of 278 cases of cesarean section in Nantong City from January to December in 2010 was conducted to compare the constituent ratios of cesarean section indications. Results The rate of cesarean section was 62.19%. The main indications were social factors accounting for 49.64%, scarring uterus accounting for 7.91%, fetal distress accounting for 7.19% and cephalic infancy 5.03%. Conclusions Social factors account for the highest number of cesarean indications, which is the main reason for the rising cesarean section rate. Correct propaganda of vaginal delivery, the scientific choice of mode of delivery, improve obstetric midwifery techniques, strict control of cesarean section indications, in order to effectively reduce the cesarean section rate.