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KMID : 0381219850170040285
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Journal of RIMSK
1985 Volume.17 No. 4 p.285 ~ p.298
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Current Status of Cesarean Births
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Abstract
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One of the most controversial issues facing obstetricians today is the rapidly increasing rate of cesarean section delivery.
In the United States, the percentage of cesarean deliveries has risen from 5.5 in 1970 to 15.2 in 1978.
Based on 1970~78 National Hospital Discharge Survey data, a significant rise in the rate of cesarean sections was observed during this period.
The uniformity of the increase within all regions, for all racial groups, for all ages, for women of all marital statues, for all hospital sizes, and for all types of hospital ownership suggests that a fundamental and widespread change in obstetrical practice has taken place.
A review of a 38-year experience with cesarean section at the Wesson Women´s Unit of the Baystate Medical Center shows considerable change in both the rate and indication for cesarean sections.
A marked increase in the cesarean section rate was noted after 1972. This increase was due primarily to an increase in the primary cesarean section rate for cephalopelvic disproportion and labor abnormalities, fetal distress, and the breech presentation.
As a result of this study, we anticipate a primary cesarean section rate of approximately 10%: 3~50 for cephalopelvic disproportion and labor abnormalities, 1-11/2% for fetal distress, 3%for breech presentation, and 1-2°o for all other indications.
Cesarean birth rates has contributed significantly to reduced maternal and perinatal mortality in recent years.
Maternal mortality rates associated cesarean birth have continued to decline from 48 per 100,000 operations in 1950 to 21 per 100,000 operations in 1976 as cesarean birth rates have markedly increased.
Perinatal mortality rates associated cesarean birth have continued to decline from 39 per 1,000 operations in 1950 to 21 per 1,000 operations in 1976 as cesarean birth rates have markedly increased.
In Korea, a review of a 10-year experience with cesarean section at Chungang and other university shows similar changes as in the United States, but the age of mother was younger than the United States.
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