921例剖宫产指征临床分析

Indications of caesarean section: an analysis of 921 cases

目的为了正确掌握剖宫产指征,对我院2006年1月至2006年12月的剖宫产指征进行探讨。方法对921例剖宫产病例进行回顾性分析。结果剖宫产率为50.52%。主要指征依次为巨大胎儿(17.92%),胎儿窘迫(17.37%),羊水过少(14.98%),头盆不称(14.55%),臀位(6.08%),重度子痫前期或子痫(5.65%)。结论应正确掌握剖宫产指征,避免剖宫产指征扩大,降低剖宫产率,进一步提高产科质量。

Objectives： For accuratly predominate the indications of caesarean section, we studied the 921 cases hospitalized in our hospital from January 1,2006 to December 5,2006. Method： to review and analyze the 921 casesarean section caese. Results ： The rate of caesarean section was 50. 52%. The main indications were fetal macrosomia （ 17.92% ）, fetal distress （ 17.37% ）, oligohydramnios（ 14. 98% ）, unsuitble pelvic （ 14. 55% ）, breech presentation （ 6.08% ）, severe pre - eclampsia and eclampsia（5. 65% ）. Conclusion：we should accurately predominate the indicatyions of caesarean section to lower the ratio of caesarean section and improve the quality of obstetric work.