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目的探讨基层医院剖宫产率上升的原因及控制剖宫产率的方法。方法回顾性分析了我院近6年来剖宫产率及剖宫产指征变化情况。结果①基层医院剖宫产率虽有上升趋势,但与大医院相比上升幅度不大。②剖宫产指征中社会因素及疤痕子宫呈上升趋势。③基层医院剖宫产的主要原因仍然是头位难产及妊娠合并(并发)症。结论若不加控制,社会因素在剖宫产指征中的比重会越来越大。提高基础医院产科处理水平,有望减少头位难产发生率,减少产科并发症的发生率,在降低剖宫产率的同时,保障母儿的生命安全。
Objective To explore the reasons for the rise of cesarean section rate in primary hospitals and to control the rate of cesarean section. Methods The retrospective analysis of our hospital cesarean section rate and cesarean section changes in the past 6 years. Results ① Although the cesarean section rate in grassroots hospitals has been on the rise, the rate of increase in cesarean section has not risen as compared with that in large hospitals. ② cesarean indications of social factors and scarring uterus is on the rise. ③ primary hospital cesarean section is still the main reason for head dystocia and pregnancy complicated (concurrent) disease. Conclusion If uncontrolled, the proportion of social factors in cesarean indications will increase. Improve the obstetric treatment of basic hospital level, is expected to reduce the incidence of head dystocia, reduce the incidence of obstetric complications in reducing the rate of cesarean section, while protecting the safety of mother and child.