剖宫产指征放宽因素分析

目的 探讨剖宫产指征放宽因素。方法 对1999年1月～2002年12月该院1894例剖宫产进行回顾性总结分析。结果 剖宫产指征明显放宽，如胎住异常、羊水过少、胎儿宫内窘迫、胎膜早破、高龄初产、相对头盆不称、社会因素成为实施剖宫产的主要因素。结论 加强孕产期监护，重视产前检查，医患相互配合，提高产科质量，正确处理产程，合理掌握手术适应证，以及广泛宣传无痛安全分娩、家庭式产房、助产士一对一陪伴分娩，在一定程度上可降低剖宫产率。

To analyze associated factors of width index of cesarean section

[Objective]To explore the associated factors of the width index of cesarean section. Retrospectively analyzed the associated factors of cesarean section in our hospital between January 1999 and december 2002. Fetal position abnormality, oligohydramnios, fetal distress, premature rupture of membranes, Primiparity in great age, relatively cephalopelvic disproportion and society factors ansisted of the main factors of operating cephalopelvic disproportion. [Conclusions] To reduce the rate of cesarean section, we should be augment the custodial in pregnancy, think highly of the antenatal care, concert with the patients, treat birth process accurately and master properly index, we also should be promote extensively such methods as Painless Delivery, Family Delivery room and Maternity Companion Delivery.