Nielsen T F
Gynecol Obstet Invest. 1986;21(2):57-63. doi: 10.1159/000298929.
Cesarean section (CS) has been an integral part of modern obstetrics during the last decades. As safety has increased, so too has the range of problems that CS is used to solve, to a degree that it must cause medical concern. There is a great danger in the blind faith that CS is the only way out in every difficult obstetric situation. The problem can always be easily solved by CS in an acute difficult obstetrical situation. However, CS is a major abdominal surgery and it may present any complication that besets major surgery including severe intraoperative and postoperative complications, a much greater risk for maternal death compared to vaginal delivery and also late complications, i.e. secondary involuntary infertility. Therefore, CS should never be undertaken lightly and without serious consideration of the justifications, preparations and all ancillary support.
在过去几十年里，剖宫产一直是现代产科不可或缺的一部分。随着安全性的提高，剖宫产用于解决的问题范围也在扩大，达到了必须引起医学关注的程度。盲目相信剖宫产是每一种困难产科情况的唯一解决办法存在很大危险。在急性困难产科情况下，剖宫产总能轻易解决问题。然而，剖宫产是一种大型腹部手术，它可能出现困扰大型手术的任何并发症，包括严重的术中及术后并发症，与阴道分娩相比，产妇死亡风险要高得多，还有晚期并发症，即继发性不孕。因此，绝不应该轻率地进行剖宫产，而不认真考虑其理由、准备工作和所有辅助支持。
