최근 5년동안 동산의료원에서 시행한 제왕절개술의 적응증 및 빈도의 분석

Abstract

The objective is to evaluate the rate and indications of cesarean delivery. All live birth＞27weeks at the Dongsan Medical Center, Keimyung University from 1993 to 1997(n=24,227) were respectively analyzed of delivery route, indication of cesarean birth, gestational age, and maternal age. The most common maternal age was between 26-30 years(49.6%). The most common gestational age was over 36 weeks(91.2%). Total cesarean rate was 22.3%(5,396/24,227), and primary rate was 13.6%(3,296/24,227). The annual primary cesarean birth rate and number increased gradually. Abnormal presentation was the most common indication(24.3%, 801/3,296) at primary cesarean deliveries. The second common indication was CPD(18.87%, 622/3,296). We experienced four cases of cesarean hysterectomy due to uterine atony and placenta previa. Further evaluation will be needed about the relationship between cesarean deliveries and long term fetal outcome, and the effort for VBAC will be needed.