降低剖宫产率临床措施探讨

目的探讨降低剖宫产率的临床措施和效果。方法回顾性分析1999年1月至2004年12月广东省东莞市凤岗医院1816例剖宫产及181例围生儿死亡的临床资料。结果6年间剖官产率分别为10．72％、12．05％、13．61％、17．38％、18．63％、16．44％，围生儿死亡率分别为140．75／万、148．22／万、164．63／万、148．49／万、140．91／万、151．46／万，6年间剖宫产指征一直以难产为第1位、社会因素为最后1位。结论只要严格掌握剖宫产指征。剖宫产率是可以控制的，围生儿死亡率也可以稳定在正常范围内。

The discussion of clinical measurements in decreasing the rates of cesarean section

Objective To discuss the clinical measurements and effects of decreasing the rates of cesarean section. Methods We reviewed the situation of 1816 cesarean section and the 181 neonatal death cases treated in Fenggang Hospital of Dongguan from January 1999 to December 2004. Result The clinical rates of cesarean section was 10.72% , 12. 05% ,13.61% ,17.38% ,18.63%, 16.44%, and the death rates of neonates was 1. 4075%, 1. 4822% ,1. 6463%, 1. 4849% ,1. 4091% ,1. 5146% ,in the six years. Dystocia was the first and society factor was the last indication of cesarean section in this period. Conclusion The rates of cesarean section can be controlled if its indications are known accurately and the death rates of neonates can be controlled in a normal range.