2014年 · 第49卷第10期

In recent years, cesarean section has played an important role in managing dystocia, pregnancy complications and complications, and reducing maternal and infant mortality and morbidity^[1,2,3]。 With the development of perinatal medicine, the improvement of surgery, anesthesia technique and drug treatment conditions, the safety of cesarean section is constantly increasing, but at the same time, the cesarean section rate is also increasing in all countries^[3,4]。 The cesarean section rate in China rose from about 5% in the 1960s to 20% in the early 1990s; And in the past 20 years, it has continued to rise. Literature reports show that the cesarean section rate in most hospitals in China is between 40% and 60%, and in some hospitals it is even as high as over 70%^[3,4,5]。 An increase in cesarean section rates can lead to an increase in maternal complications and mortality. According to the WHO survey report on the global cesarean delivery rate, the risk of serious complications and death in pregnant women with vaginal delivery and cesarean delivery is significantly higher than that in pregnant women with natural vaginal delivery^[6]。 In order to standardize the implementation of cesarean section, further improve the indication, preoperative preparation, surgical procedure and postoperative management of cesarean section, on the basis of referring to the clinical guidelines of cesarean section in the United Kingdom, the United States and other countries^[7]Combined with the current situation in China, the expert consensus on cesarean section surgery in China was formulated.