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近来剖腹产率增加在瑞典、美国和西德都有报道。随着对胎儿产前、产时情况的日益重视,实验室检查项目的增加及胎儿宫内监护技术的进步,相应地增加了剖腹产率。最近有报道指出:剖腹产不仅对产妇也是对胎儿的一种最危险的分娩途径。本文旨在评价剖腹产率的增加与产妇危险的关系、急症剖腹产与选择性剖腹产并发症的比较以及剖腹产适应症的关系,并对新生儿死亡率和发病率也作了研究。瑞典某大学医院从1972年10月到1976年6月8415例分娩中539例为剖腹产。剖腹产率为6.4％。剖腹产率由1972年的3.5％增至1976年的9.7％,4年间增加近3倍,剖腹产婴儿545个,包括有4例双
Recent increases in caesarean section have been reported in Sweden, the United States and West Germany. With the prenatal and prenatal conditions of the fetus increasing emphasis on laboratory tests and the increase in fetal monitoring of fetal technology advances, a corresponding increase in caesarean section rate. It has recently been reported that caesarean section is not only one of the most dangerous modes of delivery for the pregnant woman but also for the fetus. The purpose of this article is to evaluate the relationship between increased caesarean section rates and maternal risks, comparisons between acute and selective caesarean sections, and caesarean section indications. Neonatal mortality and morbidity are also studied. Sweden, a university hospital from October 1972 to June 1976 8,515 cases of childbirth in 539 cases of caesarean section. Caesarean section rate was 6.4%. Caesarean section rates increased from 3.5% in 1972 to 9.7% in 1976, nearly tripling in 4 years and 545 in caesarean section, including 4 cases of double