1389例剖宫产术回顾分析

回顾性分析１０年剖宫产术１３８９例。结果是平均剖宫产率为２３％，无孕产妇死亡，围产几平均死亡率为１２．６３‰。剖宫产主要指征为相对性头盆不称，胎儿宫内窘迫，臀位、骨盆狭窄。提示提高剖宫产率并不一定能降低围产儿死亡率，恰当掌握剖宫产指征，加强对孕期及产程的监测、管理，既可能降低母婴死亡率，又能适当控制剖宫产率。

Retrospective analysis of 1389 cesarean sectiona

A ten-year retrospective analysis of 1389 cesarean sections in our hospital reveals a mean cesarean section rate of 23% with no maternal mortality and a mean perinatal mortality rate of 12.63*. The chief indications were relative cephalopelvic disproportion, intrauterine fetal distress, breech presentation and contracted pelvis. It shows that rise of the cesarean section rate may not be associated with a lowering of the perinatal mortality rate. Proper handling of the indications of cesarean section and strengthening of the monitoring and management of labor during pregnancy may decrease the maternal and perinatal mortality rate and also contribute control to the uprising cesarean section rate.