剖宫产459例临床分析

Clinical Analysis of 459 Cases of Cesarean Section

目的探讨剖宫产率升高的原因及剖宫产的安全性和剖宫产率。方法对天津市和平区妇产科医院2003年2月。2005年2月住院459例剖宫产分娩产妇，进行剖宫产指征、并发症的回顾性分析。结果459例剖宫产产妇占同期产妇总数（1001例）的45．9％，其中，初产妇409例，占89．1％；经产妇50例，占10．9％。剖宫产出血例数及感染例数明显高于同期阴道分娩者（P〈0．01）。结论正确掌握剖宫产指征，提高阴道助产技术，才能降低剖宫产率，减少母婴并发症。

[Objective]To explore the reasons for the increasing rate of cesarean section and its safety. [Methods]Retrospective analysis was made on the indications and complications of 459 cases of cesarean section during the period of February 2003 to February 2005 in Heping Women＇ s Hospital of Tianjin. [ Results] The 459 cases of cesarean section occupied 45.9 % of the total amount of parturients （ 1001 cases）, among which 409 cases were primipara （89.1% ）, 50 cases were pluripara （ 10.9 % ） ; incidence of hemorrhage and infections among the cesarean section was significantly higher than that among the vaginal delivery （ P 〈 0.01 ）. [Concluslon]In order to reduce the rate of cesarean section and complications, to master the indications of cesarean section and improve the midwifery techniques is quite necessary.