Krone H A, Mattheus J
Fortschr Med. 1975 Sep 25;93(27):1266-8.
Caesarean section-rates of more than 10% in our days are not seldom; the reasons are the changed and enlarged indications for Caesarean section. The increase of the Caesarean section-frequency is parallel to the decrease of maternal mortality. The authors' investigations came to the same results. From 1963-1974 they examined 29534 deliveries (28184 spontaneous deliveries and 1350 Caesarean sections). In the examined years the Caesarean section-frequency increased from 3.6% to 5.7%. The maternal mortality of all deliveries was 5.47% (14 from 29534);the maternal mortality of the spontaneous vaginal deliveries was 0.14% (4 from 28184), in the Caesarean sections the maternal mortality was 7.41% (10 from 1350). The different causes of exitus in Caesarean section are discussed. Even "adjusted statistics" show that maternal mortality in Caesarean section is until today 10 to 15 times as high as in vaginal deliveries. Therefore Caesarean section means a ten times higher risk than a spontaneous delivery. For these reasons Caesarean section should not develop to the delivery's "method of choice" and we should keep our intentions also in future to the vaginal methods of delivery.
如今剖宫产率超过10%的情况并不少见；原因是剖宫产的指征发生了变化且范围扩大。剖宫产频率的增加与孕产妇死亡率的下降是并行的。作者的调查也得出了相同的结果。从1963年至1974年，他们检查了29534例分娩（28184例自然分娩和1350例剖宫产）。在被检查的年份里，剖宫产频率从3.6%上升到了5.7%。所有分娩的孕产妇死亡率为5.47%（29534例中有14例）；自然阴道分娩的孕产妇死亡率为0.14%（28184例中有4例），剖宫产的孕产妇死亡率为7.41%（1350例中有10例）。文中讨论了剖宫产不同的死亡原因。即使是“调整后的统计数据”也表明，迄今为止剖宫产的孕产妇死亡率仍比阴道分娩高10至15倍。因此，剖宫产意味着比自然分娩高十倍的风险。基于这些原因，剖宫产不应发展成为分娩的“首选方式”，而且我们今后也应继续倾向于采用阴道分娩方式。
