剖宫产3051例指征分析

目的 探讨2001年12月至2003年11月剖宫产指征的掌握情况，寻找降低剖宫产率的对策。方法 对3051例剖宫产病例进行回顾性分析。结果 剖宫产率为47．07％。主要指征依次为：妊娠并发症(42．24％)、社会因素(16．91％)、剖宫产史(8．36％)、妊娠合并症(6．16％)、臀位(6．10％)、头位难产(4．13％)，其中70．53％的妊高征选择了剖宫产。轻度妊高征占妊高征总数的39．73％。新生儿的窒息率和死亡率分别为1．74％和0．03％。结论 高剖宫产率与医患双方有关，应合理掌握剖宫产指征，避免剖宫产指征的扩大化、社会化。

Analysis of the indications for 3051 cesarean section

Objective To discuss the indications for cesarean section in our hospital from December 2001 to November 2003. Methods We retrospectively studied the indications for cesarean section of 3051 cases in our hospital. Results The average rate of cesarean section was 47.07%. The order of indications were as following : pregnancy complications(42.24%), social factors(16.91%), labors after cesarean section (8.36%), preexisting disease in pregnancy(6.16%), breech presentation(6.10%), dystocia in cephalic pregnancy(4.13%).70.53% pregnant women with pregnancy-induced hypertension syndrome were selected to be performed cesarean section among whom mild type accounted for 39.73%. The rate of neonatal asphyxia and mortality was 1.74% and 0.03% respectively. Conclusion The high rate of cesarean section is related with both medical staff and patients. Master the indications appropriately to avoid excessive extending .