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剖宫产指征近年来,国内的剖宫产率有日益升高之趋势,而围产儿死亡率并没有相应降低,北京、上海等地的报告指出:尽管剖宫产率由50年代的1～2%至80年代后期上升到20～30%左右,但围产儿死亡率并没有相应的下降。故对于如何适当的掌握剖宫产指征,使既有利于减少围产儿死亡,又利于降低剖宫产并发症是十分重要的,与会代表们就剖宫产指征问题进行了充分而热烈地讨论,结论如下:一、明确指出掌握剖宫产指征并不是为降低剖宫产率,而是在掌握指征情况下,适时地进行手术从而达到有利母婴健康之目的。因为剖宫产率之高低,因素是多源的,例如初产妇,年龄30岁以上者均属影响因素之一,而当前社会因素的影响确实存在,值得重视。在我国剖宫产率之高低相差很大,高者个别单位可达
Cesarean indications In recent years, the domestic cesarean section rate is increasing trend, while the perinatal mortality rate did not reduce the corresponding, Beijing, Shanghai and other places report: Although the cesarean section rate from the 50’s 1 ~ 2% to 20 ~ 30% in the late 1980s, but the perinatal mortality rate did not decrease accordingly. Therefore, it is very important to properly grasp the indication of cesarean section so as to both reduce perinatal death and reduce the complications of cesarean section. The delegates fully and enthusiastically Discussion, conclusions are as follows: First, clearly pointed out that the indications of cesarean section is not to reduce the rate of cesarean section, but in the case of indications, timely surgery in order to achieve the purpose of maternal and child health. Because of the high and low cesarean section, the factors are multi-source, such as primipara, people over the age of 30 are one of the influencing factors, and the impact of the current social factors exist, it is worth attention. Cesarean section in our country a great difference between the level of high, up to individual units up