Objectiv To understand the cesarean section rate from September 1st,2011 to August 31st,2013,at Duanzhou District,Zhaoqing,Guangdong and to reduce the complications of puerperae and neonates and to keep the puerperae and neonate healthy analyze the causes and countermeasures of cesarean section.Methods Literature method was used to collect the literatures of cesarean section.The cesarean section rate at Duanzhou these two years was analyzed.The causes and countermeasures were analyzed.Results 24536 cases had given birth to children.13046 cases had taken cesarean section with a rate of 53.17％.The top factor causing cesarean section was social factors leading 6273 (48.08％) cases to take cesarean section.Fetal distress (including placental abruption and placenta previa) came nest (2625 cases,20.12％),which was followed by cephalopelvic disproportion (1918 cases,14.7％),scar uterus (1278 cases,9.8％),umbilical cord around the neck (398 cases,3.05％),and the others (554 cases,4.25％).Conclusions In order to decrease the cesarean section rate,save medical resources,and keep the puerperae and neonates healthy,medical especially reproductive knowledge should be taught to the puerperae and their family member,the medical industry professional qualities and professional ethics accomplishment should be improve,and new obstetric technology introduced.%目的 了解广东省肇庆市端州区2011年9月1日到2013年8月31日共两年剖腹产率的现状,分析其原因以及应对措施,以降低过高的剖腹产率,减少产妇和新生儿的各种并发症,保障母婴健康.方法 采用文献法搜集剖腹产的相关文献,阐述我区近两年剖腹产率的现状,分析了其原因和应对措施.结果 分娩例数24536例,剖腹产为13046例,剖腹产率为53.17％,排在剖腹产首位的是社会因素,共6273例,占48.08％,其次为胎儿宫内窘迫(包括前置胎盘和胎盘早剥)2625例(20.12％),往后依次是头盆不称1918例(14.7％),疤痕子宫1278例(9.8％),脐带绕颈398例(3.05％),其余554例(4.25％).结论 需要加强产妇及其家属的医学知识的培训学习,特别是生殖健康教育,提高医护人员接产技术水平和医德培训,严格把握剖腹产各项指征,并加强开展产科新技术,达到降低剖腹产率的目的,节省医疗资源,更好的保障母婴健康.
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