de Gregorio G, Hillemanns H G, Quaas L, Mentzel J
Universitätsfrauenklinik Freiburg i. Br.
Geburtshilfe Frauenheilkd. 1988 Jan;48(1):16-9. doi: 10.1055/s-2008-1035688.
Based on the data of a questionnaire this study was designed to follow the obstetrical and gynecological history of 269 women who were delivered at our hospital by Caesarean section during 1960-1969. The Caesarean section group was compared with a control group of 229 women who were delivered spontaneously during the same period. Patients with cesarean sections had less children and more often they had been afraid of further deliveries. In patients with vaginal deliveries there was a significant higher incidence of descensus and prolapse uteri and more often a therapy because of premalignant or malignant diseases of the cervix had to be performed. However, there was no significant difference in the frequency of hysterectomies in both groups. The main indication for hysterectomy in the vaginal delivery group was prolapse and descensus, and in the Caesarean section group fibromyoma of the uterus. Except one case of uterine rupture the rate of complications in subsequent pregnancies was similar for both groups. Compared to the control group a higher rate of maternal morbidity due to Caesarean section could not be proved.
基于一份调查问卷的数据，本研究旨在追踪1960年至1969年间在我院剖宫产分娩的269名女性的妇产科病史。将剖宫产组与同期自然分娩的229名女性组成的对照组进行比较。剖宫产患者的子女较少，且她们更常害怕再次分娩。顺产患者子宫脱垂和子宫下垂的发生率显著更高，并且由于宫颈的癌前病变或恶性疾病，不得不更频繁地进行治疗。然而，两组子宫切除术的频率没有显著差异。顺产组子宫切除术的主要指征是脱垂和下垂，剖宫产组是子宫肌瘤。除1例子宫破裂外，两组后续妊娠的并发症发生率相似。与对照组相比，无法证实剖宫产导致的孕产妇发病率更高。
