Krause W, Möbius W, Günther M, Eichhorn K H, Creutzburg P, Mönch A, Knappe M, Kunath H
Z Geburtshilfe Perinatol. 1979 Apr;183(2):136-47.
In the period from 1956--76 1 468 caesarean sections were accomplished at the UFK-Jena. 44 043 children were delivery during the 21-year period. The number of caesarean sections rose from 1,08% to 1956 to 10,8% in 1976. The fetal indication in 1956 was zero, on the other side it amounts to 34,3% in 1976. First place of the maternal indication in the 21-year period took in the cephalo pelvine disproportion. In the same time the maternal mortality in attendance of caesarean section was 12,3%. Considering the period between 1969--76, the maternal mortality fell to 2%. Maternal morbidity diminished from 1965 and obtained 23% in the period between 1974/1976. The feverish childbed took in the first place of the maternal morbidity (30%). The perinatal mortality fall from 28,57% in the period between 1956/1958 to 3,71% in the period between 1974/1976. The perinatal morbidity we could'nt state certainly. In 8,3% we found perinatal morbidity by acidosis. 5,5% of children, delivered by caesarean section needed medical care. 16,4% of all children were either small for gestational age or immature. The problem of caesarean section as an important method for termination of labor is discussed.
1956年至1976年期间，耶拿大学妇产科医院共进行了1468例剖宫产手术。在这21年里，共分娩了44043名婴儿。剖宫产手术的比例从1956年的1.08%上升到了1976年的10.8%。1956年胎儿指征为零，而在1976年则达到了34.3%。在这21年里，产妇指征中头盆不称占首位。同时，剖宫产手术中的产妇死亡率为12.3%。考虑到1969年至1976年期间，产妇死亡率降至2%。产妇发病率自1965年起有所下降，在1974年至1976年期间为23%。产褥热在产妇发病率中占首位（30%）。围产期死亡率从1956年至1958年期间的28.57%降至1974年至1976年期间的3.71%。我们无法确切说明围产期发病率情况。在8.3%的病例中，我们发现存在酸中毒导致的围产期发病率。5.5%通过剖宫产分娩的婴儿需要医疗护理。所有婴儿中有16.4%为小于胎龄儿或未成熟儿。本文讨论了剖宫产作为一种重要的分娩终止方法的问题。
