Döring G K, Hossfeld C G
Fortschr Med. 1979 Dec 13;97(47):2187-90.
During a period of 13 years 2000 Caesarean sections were performed in a total of 20 584 deliveries. That means a frequency of 9,7%. Maternal mortality was zero. Maternal morbidity was 72% if one includes all minor complications. Counting only the major postoperative complications the morbidity in our Caesarean sections was not higher than 1%. Perinatal mortality was 2,2%. If one excludes all premature children and not viable malformations, a perinatal mortality of 0,65% results. Conditions for good results in mother and child after Caesarean section are: prospective management of delivery, consequent prenatal care, optimal supervision in the delivery room, favourable peri-operative circumstances, elective prophylaxis with antibiotics and elective prophylaxis against thromboembolism.
在13年的时间里，共进行了20584次分娩，其中剖宫产2000例。这意味着剖宫产率为9.7%。孕产妇死亡率为零。如果将所有轻微并发症都包括在内，孕产妇发病率为72%。仅计算主要的术后并发症，我们剖宫产的发病率不高于1%。围产期死亡率为2.2%。如果排除所有早产儿和不可存活的畸形儿，围产期死亡率为0.65%。剖宫产术后母婴获得良好结局的条件包括：分娩的前瞻性管理、持续的产前护理、产房的最佳监护、有利的围手术期情况、选择性抗生素预防和选择性血栓栓塞预防。
