nowadays, cesarean section continues to be one of the important operations performed in Obstetrics & Gynecology widely.
This study was based on retrospective investigation of the 4,925 cases of cesarean srvyopm s,pmh 27,827 deliveries at the department of Obstetrics & Gynecology, school of Medicinc, Keimyung University, Taegu, Korea during seven years from
January,
1987
to December, 1993.
@ES The results were as follows
@EN 1. There were 27,827 deliveries including 4,925 cases of cesarean sections giving an average cesarean rate. The primary section rate was 11.2% and repeat cesarean section rate was 6.01%.
2. The most prevalent age distribution was seen in the age group of 26~30.
3. In distribution by gestational weeks, cases performed at 38~38/6th weeks of gestation were the most common(32.00%).
4. The indications for primary cesarean section in primigravedas were malpiesentation(13.67%), CPD(5.68%), induction failure(4.71%), and elderly primigravida(3.25%), and in multigravida, malpresentation(16.23%), CPD(10.49%), fetal
distress(6.21%),
placenta previa(4.21%), induction failure(3.59%), and elderly prmigravida(3.28%) in orders. Among the indications for repeat cesarean section, previous cesarean section alone was the most common.
5. In the type of operation, lower segment transverse incision was done most frequently(99.84%), inverted T incision and classical cesarean section were done on in 6 cases(0.12%)and 2 cases(0.04%) respectively.
6. In type of anesthesia, general aneshtesia was performed in 4,154(84.35%) & epidural anethesia in 771(15.65%).
7. In distribution of body weight, the most prevalent body weight was seen in 3,001~3,500gm.
8. Of cesarean section of the 5 minute Apgar score more than 8 were the most common (97.46%).
9. The perinatal mortality rate was 32/5042 (0.3015%).
10. The postoperative complications were noted in 5.9%, most of which was wound infectlon(2.0%).
11. There was no case of maternal death.
|