剖宫产指征的临床分析

目的：分析剖宫产指征,探讨目前产科有关热点问题。方法：回顾性分析我院2008年1月～2009年12月剖宫产病例的手术指征,研究各类指征剖宫产的特点。结果：瘢痕子宫剖宫产及社会因素剖宫产高居不下,头位难产中,以持续性枕横位或持续性枕后位为主,胎儿窘迫为指征的剖宫产诊断问题,妊娠期高血压疾病的人群特点,均影射出目前产科领域的一些问题。结论：剖宫产率居高难下,有围生期保健、产程观察处理及医生的诊疗水平等各层面的问题。

Clinical analysis of indications for cesarean section

Objective：To analyze the indications for cesarean section and discuss the current hot issues related to obstetrics.Methods：A retrospective analysis was conducted from January 2008 to December 2009 in our hospital,the surgical indications for cesarean section were collected,and the characteristics of various indications for cesarean section were analyzed.Results：Cesarean section with uterine scar after prior cesarean section,and social reasons cesarean section remained a high ratio.In cephalic dystocia,persistent occiputotransverse position and persistent occiputoposterior position were mainly the most indications for cesarean section.Diagnosis of fetal distress as indication for a cesarean section,group characteristics of the hypertensive disorder complicating pregnancy alluded the problems in current obstetric.Conclusion：Perinatal health care,observation and treatment of the stage of labor,diagnosis and treatment level of the doctors and so on,reasons for the cesarean section ratio keep high.