Krasnopol'skiĭ V I, Levashova I I, Zyriaeva N V, Mareeva L S
Akush Ginekol (Mosk). 1989 Mar(3):18-21.
A review of the outcomes of 819 cesarean sections and the causes of intranatal and early neonatal loss of full-term newborns has demonstrated that postcesarean perinatal mortality and morbidity remains fairly high. Perinatal losses are largely seen in cases of late gestosis and placental disorders, i.e. where cesarean section is performed urgently for maternal reasons. Possibilities for improving perinatal parameters are in the optimization of indications for surgical delivery and timely as well as technically correct performance of the operation and high-quality anesthesiologic support at a specialized facility, well-equipped for urgent maternal and neonatal treatment and intensive care.
一项对819例剖宫产手术结果以及足月新生儿产时和早期新生儿死亡原因的回顾表明,剖宫产后围产期死亡率和发病率仍然相当高。围产期死亡主要见于晚期妊娠中毒症和胎盘疾病病例,即因母体原因紧急进行剖宫产的情况。改善围产期指标的可能性在于优化手术分娩指征,及时且技术正确地进行手术,并在具备紧急孕产妇和新生儿治疗及重症监护设备的专业机构提供高质量的麻醉支持。