剖宫产术512例临床原因分析

Analysis of the clinical causes of cesarean section A report of 512 cases

目的探讨我院近年来剖宫产指征变化及剖宫产率上升的原因。方法对我院2004-01／2006-12收治的864例产妇的相关资料进行回顾性分析。结果864例产妇中行剖宫产512例，占59．3％。在剖宫产指征变化中胎位异常、胎儿窘迫及社会因素已成为第一、第二、第三位因素。结论剖宫产与阴道分娩相比有着明显的缺点，加强宣传、提高医生素质、密切产程观察，对降低剖宫产率有着重要意义。

Aim To explore the changes of indication of cesarean section and the causes of cesarean section increase. Methods The relative data of 864 cases admitted to our hospital from January 2004 to December 2006 was analyzed retrospectively. Results 512 （59.3%） out of 864 cases underwent cesarean section. Among the changes of indication, abnormal fetal position, fetal distress and social factors were the first three causes. Conclusion Compared with vaginal delivery, there are obvious weak points in cesarean section. It is of great significance in decreasing the rate of cesarean section to offer necessary instructions, improve doctors＇ qualities and closely watch the delivery process.