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KMID : 0378019670100020039
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New Medical Journal
1967 Volume.10 No. 2 p.39 ~ p.50
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Clinical Statistics of Cesarean Section in Korean
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徐永旭/Seo, Y.U.
金源培/權得基/李重吉/宋文源/Kim, W.B./Kwon, T.K./Lee, C.K./Song, M.Y.
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Abstract
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This clinical study disclosed 89 cesarean sections in 2,014 deliveries, during January 1, 1960 and October 1, 1965 at the Dept. of Ob. & Gyn., Taegu Presbyterian Hospital, Taegu, Korea.
Results obtained were as follows:
1) 89 cesarean sections in total 2,014 deliveries, an operative incidence of 4.4 per cent, in 5 year and 9 month periods indicates an increase in incidence.
2) The commonest indication of the cesarean section was cephalopelvic disproportion (33.7%), and was followed by placenta previa (20.2%), eclampsia (14.6%), vaginal stricture (7.8%), ruptured uterus (6.8%), repeat section (4.5%), malpresentation (4.5%), abruptio placentae (3.4%), and so forth.
3) The predominant anesthetic method used in this study was local infiltration by I% procaine with 2.5 % pentothal sodium induction and with ether inhalation general anesthesia (73%). There was no anesthetic death.
4) The low cervical type of cesarean sectieon (73%) was the predominant operation used, while the classical cesarean section (20.2%) has not been completely abandoned yet.
Cesarean hysterectomy was performed on 8 cases (9.6%).
5) Postoperative maternal morbidity was 19.1 %.
6) Maternal mortality was 2.2%, and death of these 2 cases were due to severe eclampsia per se, and not due to operation.
7) Perinatal mortality was 23.5%.
8) A comparative study of statistics and a review of literature of cesarean section were made.
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