Hsieh C C, Hsieh T T, Soong Y K
Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Changgeng Yi Xue Za Zhi. 1990 Dec;13(4):282-9.
This study was undertaken to estimate the cesarean delivery rate in Chang Gung Memorial Hospital (CGMH) and to determine whether the reasons for the rising rate have changed during the past 6 years. Since 1984, 43% of the rise in the cesarean rate was due to repeat cesareans, 29% due to dystocia, and 15% due to fetal distress. At the same time, the cesarean delivery rates due to abnormality of position and placentation dropped by 2% in either condition. The rate of cesarean delivery among those with a previous cesarean was 98%. In the future, if the number of vaginal deliveries after cesarean increases, then the overall cesarean delivery rate will decrease or stabilize.
本研究旨在估算长庚纪念医院（CGMH）的剖宫产率，并确定过去6年中剖宫产率上升的原因是否发生了变化。自1984年以来，剖宫产率上升的43%归因于再次剖宫产，29%归因于难产，15%归因于胎儿窘迫。与此同时，胎位异常和胎盘异常导致的剖宫产率在这两种情况下均下降了2%。有过剖宫产史者的剖宫产率为98%。未来，如果剖宫产术后阴道分娩的数量增加，那么总体剖宫产率将下降或趋于稳定。
