1153例剖宫产指征分析

Analysis 1153 cases cesarean section indications

目的 :探讨 2 0 0 0年 1月至 2 0 0 1年 12月剖宫产指征的掌握情况。方法 :对 115 3例剖宫产病例进行回顾性分析。结果 :剖宫产率为 4 0 .0 2 % ,主要指征为妊娠并发症 32 .6 1% ,胎儿窘迫 16 .4 8% ,社会因素 13.0 1% ,臀位 6 .6 8% ,相对性头盆不称 5 .4 %。其中 95 %的疤痕子宫 ,84 .6 %臀位选择了剖宫产。结论 :必须提高医务人员对剖宫产的认识 ,使之正确掌握剖宫产指征 。

Objective: To discuss cesarean section indications from January in 2000 to December in 2001. Methods: Make retrospective analysis about 1153 cesarean section cases. Results:The cesarean section rate is 40.02% in 2001.The main indications include complications induced by pregnancy, fetal distress,social factors,pelvic presentation and relative cephalophelvic disproportion.The rates are 32.61%,16.48%,13.01%,6.48%,and 5.4%,relatively. And 95% of labors after cesarean section chose cesarean sections again.84.6% of pelvic presentations choose cesarean sections too. Conclusion: It's necessary to improve the cognition of medical staff about cesarean section,in order to master indications properly and offer effective accompanies and analgesia in labors.