社会因素导致剖宫产率上升的分析

The social factor causes the c--section rate rise analysis

目的：剖析近年来剖宫产率上升的主要影响因素及怎样合理控制剖宫产率，减少剖宫产并发证。方法：对2006-2008年间在我院行剖宫产产妇的手术指征进行回顾性分析。结果：（1）剖宫产率有逐年升高的趋势；（2）剖宫产的手术指征以胎儿宫内窘迫为主，存在过度诊断。而社会因素也有逐渐上升的趋势。结论：剖宫产率升高主要为剖宫产除有绝时医学指征外的社会因素行剖宫产术增多所致。所以必须提高医务人员对剖宫产的认识，使其正确掌握剖宫产指征，保证母婴安全。

Objective： To analyze the major factors affecting the rise of c-section rate in recent years and how to control and reduce it. Methods： Making a retrospective analysis on indications of those parturient women who did operations in our hospital from 2006 to 2008. Results： （1） there is an increasing tendency of c -section rate; （2） the indications of c-section surgery are primarily about embryo palace in poverty-stricken and excessive diagnoses exist. But the social factors also have the tendency of rise. Conclusion： The understanding of medical personnel to the c-section must be enhanced to assure the safety of mothers and infants.