382例剖宫产指征的临床分析

Analysis of 382 Cases of Cesarean Section Indication

目的探讨剖宫产率居高不下的原因,为临床降低剖宫产率提供依据。方法对2008-01~2009-12间,行382例剖宫产病历进行回顾性分析。结果总剖宫产率为68.09%,剖宫产因素主要包括：社会因素50%、有剖宫产史27.22%、胎儿因素13.87%、产道因素4.18%、产程异常2.36%、妊娠合并症与并发症2.36%。结论社会因素是剖宫产率居高不下的首要因素,对孕产妇妊娠与分娩生理宣教是降低以社会因素为剖宫产指征的主要手段,必须提高产科医生对剖宫产的认识,使之正确掌握剖宫产指征。

Objective To explore the reasons for the high rate of cesarean section and to provide a basis to reduce the rate of cesarean section.Methods from January 2008 to December 2009,382 cases of cesarean section cases were analyzed retrospectively.Results The total cesarean section rate was 68.09%.Main factors of cesarean section： social factors 50 %,history of cesarean section27.22%,fetal factors13.87%,birth canal factors 4.18%,2.36% of labor abnormalities,2.36% of pregnancy complications and complications.Conclusion Social factors are the primary factor in the high rate of cesarean section Education about the pregnancy and delivery for the maternal is the main method to reduce the rate of cesarean section which is caused by social factors.We must raise awareness of obstetricians for caesarean section to make a correct use indication for cesarean section.