제왕절개술의 임상적 고찰

Abstract

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 section among 27,827 deliveries at the department of Obstetrics & Gynecology, school of Medicine, Keimyung University, Taegu, Korea during seven years from January, 1987 to December, 1993. The results were as follows 1. There were 27,827 deliveries including 4,925 cases of cesarean sections giving an average cesarean rate. The primary section rate was 11.20 % and repeat cesarean section rate was 6.01 %. 2. The most prevalent age distribution was seen in the age group of 26-30. 4. In distribution by gestational weeks, cases performed at 38~38/ 6th weeks of gestation were the most common(32.00 %). 5. The indications for primary cesarean section in. primigravidas were malpresentation( 13.67 %), CPD(11.39 %), fetal distress(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 primigravida(3.28 %) in orders. Among the indications for repeat cesarean section, the previous cesarean section alone was the most common. 6. 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. 7. In type of anesthesia, general aneshtesia was performed in 4, 154( 84. 3 5 % ) & epidural anethesia in 771( 15.65 %). 8. In distribution of body weight, the most prevalent body weight was seen in 3,001 ~ 3,500 gm. 9. Of cesarean section cases of the 5 minute Apgar score more than 8 were the most common (97.46 %). 10. The perinatal mortality rate was 32/5042 (0.0315 %). 11. The postoperative complications were noted in 5.9 %, most of which was wound infection(2.0 %). 12.There was no case of maternal death.