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In more recent years, the use of cesarean section has increased remarkably, because of the emphasis that is directed toward prompt recognition of impairment of fetal well-being. After studing 781 patients who had cesarean section at the Ewha Womans University Hospital, Seoul, we have found the results as follows: 1. Overall incidence of section was 15% of the deliveries. Of all these 781 sections, the primary section accounted for 59.7% of the sections and the repeat sections were 40.3% 2. Cephalopelvic disproportion was the most frequent indicaion(47.9%). The other frequent indications were antepartum bleeding(11.2%), and fetal distress(9.4%) in order. 3. In performing the cesarean sections, lower segment transverse incision was the most common (96.3%) type of operations and classical section was very rare(1.0%). 4. The incidence of tubal resection for sterilization in conjunction with the cesarean sections was 27.5% of the all sections. 5. The majority(80%) of the cesarean section except hypovolemic cases(abruptio placenta, placenta previa etc.) was performed under the spinal anesthesia with low dosage of po ntocaine(5-6mg). With such low dosage technic, we could prevent the unnecessary transfusion due to an esthetic accident down to zero in this series of 781 cases. 6. Of the postoperative complications, the wound infection was the most common complication(13.6%) and the others were endometritis(3.8%) spinal headache(3.2%) etc. 7. We found hogh rate of maternal morbidity in patients with anemia (16.7%) and longer duration of rupture of membrane(23.9%) 8. It was found there was no evidence of increasing incidence of wound infection or transitional fever among the cesarean section mothers who had the appendectomy at the one`s without appendectomy. 9. The early perinatal mortality was 5.1% which is not significantly different compared to average one in Ewha. 10. There was no any single maternal mortality in 781 cases of cesarean sections.
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