Rasmussen S A, Maltau J M
Kvinneklinikken Regionsykehuset i Tromsø.
Tidsskr Nor Laegeforen. 1990 Jan 30;110(3):351-3.
During a seven-years period, 898 women (9.9% of all deliveries) had a cesarean section at the Department of Obstetrics and Gynecology, University Hospital of Tromsø. 29.3% of the women suffered one or more complications (8.5% intraoperative, 23.1% postoperative). The most common complication was infection (22.3%). The following factors were associated with the occurrence of complications: emergency operation, obesity, labor prior to surgery, increased duration of labor or rupture of fetal membranes prior to operation, low gestational age, and station of the presenting part of the fetus below the ischial spinal plane. The same tendency was found for intra- and postoperative complications. Hb levels less than 12.0 g/100 ml increased the risk of infection. We suggest ways of reducing both the number of cesarean sections and the number of complications.
在七年的时间里，特罗姆瑟大学医院妇产科有898名妇女（占所有分娩人数的9.9%）接受了剖宫产手术。29.3%的妇女出现了一种或多种并发症（术中并发症占8.5%，术后并发症占23.1%）。最常见的并发症是感染（22.3%）。以下因素与并发症的发生有关：急诊手术、肥胖、手术前分娩、手术前产程延长或胎膜破裂、孕周小以及胎儿先露部位于坐骨棘平面以下。术中及术后并发症也呈现相同趋势。血红蛋白水平低于12.0 g/100 ml会增加感染风险。我们提出了减少剖宫产手术数量和并发症数量的方法。
