剖宫产560例指征分析
剖宫产；胎儿窘迫；社会因素；难产；心理调控,,剖宫产；胎儿窘迫；社会因素；难产；心理调控,1资料与方法,2结果,3讨论,【参考文献】
【摘要】目的 分析我院妇产科剖宫产率上升的原因，探讨降低剖宫产率的对策。方法 对560例剖宫产的病例进行回顾性分析。结果 平均剖宫产率为28.89%。主要指征依次为：胎儿窘迫34.28%，社会因素28.21%，妊娠并发症17.50%，臀位11.78%，巨大儿3.93%，珍贵儿3.21%，高龄初产1.07%。结论 胎儿窘迫、社会因素是剖宫产率增加的主要原因，处理难产，严格掌握剖宫产指征，提倡责任助产，进行心理调控是降低剖宫产率，提高产科质量的关键。【关键词】 剖宫产；胎儿窘迫；社会因素；难产；心理调控
Analysis of the indications for 560 cesarean section
ZHAO Qiu-ju.
Department of Obstetrics and Gynecology,the Third Peoples Hospital of Dangshan County,Dangshan 235300,China
【Abstract】 Objective To study the causes for the increase of cesarean section rate (CSR) and its countermeasures.Methods We retrospectively studied the indications for CS of 560 cases in our hospital.Results The average rate CS was 28.89%,the order of indications were as following:fetal distress 34.28%,social factors 28.21%,pregnancy complications 17.50%,breech presentation 11.78%,fetal macrosmia 3.93%,precious baby 3.21% and older primiparae 1.07%.Conclusion Fetal distress and social factors are the main causes for the rise of CSR.Correct diagnosis,proper management of dystocia,strict mastery of the indication of CS,psychological control and reliable delivery can help reduce the CSR. ......
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