剖宫产指征及剖宫产率变化与相关因素分析

目的 总结近4年剖宫产率及剖宫产指征变化，探讨高剖宫产率的原因，分析剖宫产各项指征的合理性，寻找降低剖宫产率的对策。方法 回顾分析该院2002年1月1日-2005年12月31日剖宫产病例的临床资料。结果 剖宫产率逐年升高，2002年为41.9％，2005年为61．04％，显著高于who提出的目标，2002年剖宫产指征以难产为第1位，而近2年社会因素占第1位。结论 剖宫产率升高主要与医患双方有关，降低剖宫产率应从医患双方着手。

Analysis on indication and rate variation of Cesarean section and correlation factors

Objective] To summarize the variation of the Cesarean section rate and the indication of it, to explore cause of high rate of cesarean section, to assess the rationality of all indications of it and to find plans to lower its rate. Methods] We analyzed the clinical cases of cesarean section dating back from January 1, 2002 to December 31, 2005. Results] The result shows that the rate of it is increasing steadily, from 41.9% in 2002 to 61.04% in 2005, which significandy higher than the aim forwarded by WHO. Dystopia is putted as the first indication for Cesarean section in 2002, while in recent 2 years, social factor have replaced it the most prominent one. Conclusion] The reason of the growing rate the Cesarean section mainly lies in both the patients and the hospitals. To lower it, both sides should be the improved.