目的分析河南省郏县妇幼保健院2006-2013年间剖宫产率的变化及剖宫产率上升的因素。方法对2006-2013年间院内的11 390例剖宫产产妇病历进行统计分析。结果院内剖宫产率在2006-2010年间逐年上升,2010年达高峰,2010-2013年略呈下降趋势。在剖宫产指征中瘢痕子宫排第1位,社会因素变化趋势同剖宫产率变化趋势。结论由于社会经济的发展,文化背景和医疗服务模式的转变,剖宫产手术指征远远超过单纯医学指征,社会因素和瘢痕子宫对剖宫产率的影响应值得重视。

Objective To analyze the changes of cesarean section rate and the factors for the increase of cesarean section rate during 2006 and 2013 in Jiaxian maternal and child health hospital. Methods Medical records of 11 390 cases with cesarean section in the hospital from 2006 to 2013 were analyzed. Results The rate of cesarean section increased year by year from 2006 to 2010,and reached the peak in 2010,then decreased slightly from 2010 to 2013. Scar uterus was located in the first place of all the cesarean section indications; the change trend of social factors was same to cesarean section rate. Conclusion Along with the development of social economy,the cultural background and the transformation of medical service mode,the indication of cesarean section is far beyond the medical indication; it should be paid more attention on the influence of social factors and scar uterus on cesarean section rate.