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KMID : 0613119910040010189
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Journal of St. Benedict Hospital
1991 Volume.4 No. 1 p.189 ~ p.199
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Clinical Analysis on CesareanSection
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위성년/Wee, S.N.
이학림/문은주/임수현/이세용/김철/Lee, H.L./Moon, E.J./Lim, S.H./Lee, S.Y./Kim, C.
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Abstract
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Clinical analysis was carried out retrospectively, based on the charts of 1801 cases of cesarean section out of 10,162 deliveries from January, 1983 to December 1988 at the St. Benedict hospital, Busan, Korea.
The results were as follows.
1. There were 10,162 deliveries with 1801 cases of Cesarean section, giving an incidence of 17.7 %. The primary Cesarean section rate was 11.4 % and repeat Cesarean section rate was 3.3%.
2. According to the age distribution 63.7 of total cases were between 26 30 year old group, 21.4 % between 21 25 year old group and 18.4 % between 31 ~ 35 year old group. The mean age was 27.7 year old.
3. The greatest portion (55.4%) of the cases was done between 39 ~ 40 gestational weeks group and 76.8 % of the cases was done between 39~42 weeks.
4. Indication of primary Cesarean section were C.P.D (47.7%), breech presentation (25.9%), fetal distress (5.7%), placenta previa (4.0%) and miscellaneous. In nullipara, indications were similar to above in order. But in multipara, breech presentation was the highest incidence, 43.3% and CP.D., placenta previa, fetal distress in order.
5. In the types of operation, lower cervical transverse incision was the most common (98.1%), classic type was 1.6 `io in rate and Cesarean hysterectomy was 0.3 % in rate. The most common indication of Cesarean hysterectomy was uncontrolled bleeding from placenta previa.
6. In the incidental operation during Cesarean section, the tubal ligation was the most common (21.9%) and then Incidental appendectomy was 9.8 % and salpingoophorectomy was 0.4% in rate.
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