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Abstract Objective：To analyze the currant situation of repeated cesarean section in primary hospitals and discuss the measures to further reduce the rate of cesarean section.Method：The clinical data of 981 puerperae who had repeated cesarean section admitted to our hospital from 2011 to 2013 were retrospectively analyzed，the changes of repeated cesarean section rates and indications in different periods were statistically analyzed.Result：The repeated cesarean rates of our hospital were 93.64 %，47.30%，76.08% in 2011，2012 and 2013.The average cesarean section rate was 72.34%.The top five of the cesarean section indications were tubal ligation，social factors，preeclampsia，fetal distress，abnormal stage of labor.Conclusion：High repeated cesarean section rate is caused by many factors.It can be reduced by updating the conception of obstetricians and pregnant women，enhancing the propaganda of perinatal health care，encouraging vaginal birth after cesarean section，improving professional skills of midwives and so on，so as to reduce the risk of mother and son from cesarean delivery operation.
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