[Cesarian section: clinical results of 820 sections (ten-year-statistics 1967 to 1976) (author's transl)].
- 1 April 1978
- journal article
- case report
- Vol. 182 (2) , 132-8
Abstract
820 Cesarian sections were performed between 1967 and 1976 at the Gynecological Clinic of the Ludwigshafen Municipal Hospital. These sections are reviewed in the following study under the following aspects: 1. Indication 2. Maternal Morbidity and Lethality 3. Perinatal Lethality 1. Corresponding to the trends reported in current literature, the frequency of Cesarian section increased from 1967 to 1976 by 2.6% to a maximum of 11.4%, the average figure for the last years being 9%. Performance of Cesarian section due to maternal indication remained practically constant at 5%, whereas section performed for fetal indication predominated (61.6%). This is due, among other things, to the changed indication for Cesarian section in primigravidae with breech presentation, representing about one-fifth of all Cesarian sections. The proportionate share of the mixed indication is 33.4%, whereas that of the extended indication is 13.7%. 2. Maternal morbidity is 22.5%; this includes all postoperatively occurring diseases. Complications of a relatively severe nature were recorded in 4.9% of the cases. Postoperative disturbances are much rarer after primary Cesarian section (6.6%), than in cases with indication for Cesarian section when birth had started (16%). Three women died during the period under report (3.6%). The casuistics of these cases are reported. This included one patient with a surgical disease (penetrated gastric ulcer), so that actual mortality associated with parturition in only 2.4%. In 271 primary Cesarian sections, the mortality was 0%. 3. 35 children died out of the total of 850 infants (4.1%), whereas the purified perinatal lethality is 2.1%.This publication has 0 references indexed in Scilit: