Valdés R L, Martínez L D
Servicio de Obstetricia y Ginecología, Hospital Dr. Gustavo Fricke, Viña del Mar.
Rev Chil Obstet Ginecol. 1990;55(1):10-6.
Since 1985, when active management of labor was introduced at Hospital Dr. Gustavo Fricke, a significative decrease of cesarean section delivery has been observed. In 918 women operated on between October 1987 and March 1989, the main indication was as follow: elective cesarean section, repeated section, fetal distress in labor and abnormal lying of the fetus with an incidence of 31.2%, 18.4%, 17.9% and 14.3% respectively. Dystocia, which appears to be the main cause in international literature represented only 12.3% of the total cesarean section in our service.
自1985年古斯塔沃·弗里克医生医院引入产程积极管理以来，剖宫产分娩率显著下降。在1987年10月至1989年3月接受手术的918名女性中，主要指征如下：择期剖宫产、再次剖宫产、产时胎儿窘迫和胎位异常，发生率分别为31.2%、18.4%、17.9%和14.3%。难产在国际文献中似乎是主要原因，但在我们的服务中仅占剖宫产总数的12.3%。
