|
The rise in incidence of Cesarean section has been noteworthy in many areas of our country since mid of 1960s. There are several reasons, but basic justification lies in lowering of maternal mortality with an increasing fetal salvage rate as compared with certain operativr procedures of vaginal delivery. This study was retrospectively carried out based on the clinical charts of patients who had 705 Cesarean sections performed at the department of Pbstetricw & Gynecology, National Medical Center from January 1967 to December 1976. The results were as follows; 1. Cesarean section rate was 5.5% in 12,742 total deliveries. It has been a tendency to gradual increment. 2. the indications for Cesarean section were cephalo-pelvid disproportion (27.5%) that was most prevalent, repeat section(12.5%), malpresentation(16.5%),placenta previa(8.8%), fetal distress(6.1%)and so on. 3. There was no absolute indication of Cesarean section rate in toxemic pregnancy, but high rate was noted in antepartum hemorrhage cases such as placenta previa(48.6%) and abruptio placentae(16.4%) 4. Low cervical section was performed in 94.0%, classical section in 5.4% & Cesarean hysterectomy in 0.6% 5. Types of anesthesia was general(86.5%), local and general(12.9%) and spinal (0.6%) 6. The weight group of 3,001-3,500g, comprised of 37.0% of all newborns. In comparison with prematurity and maturity, prematurity was 12.5%, and mature infant was 87.9%. 7. perinatal mortality rate was 8.3%. Its main carses were prematurity, abruptio placentae and so on. 8. Them were 3 maternal deaths in 12,742 pregnant woman, and a mortality rate was 0.43%. 9. Of 292 combined operations with Cesarean section, tubal ligation(79.9%), appendectomy(6.9%), and salpingooophorectomy(3.4%) were noted. 10. Average blood loss during operation was estimated about 600cc and blood loss under 500cc was observed in 63.9%. 11. Among the complication of Cesarean section, puerperal fever was the most frequent(44.2%), urinary tract infection(22.8%), abdominal wound infection(14.8%) and so on.
|