Haddad H, Lundy L E
Obstet Gynecol. 1978 Feb;51(2):133-7.
A review of a 38-year experience with cesarean section at a community hospital shows considerable change in both the rate and indication of cesarean sections. A marked increase in the cesarean section rate was noted after 1972. This increase was due primarily to an increase in the primary cesarean section rate for cephalopelvic disproportion and labor abnormalities, fetal distress, and the breech presentation. As a result of this study, we anticipate a primary cesarean section rate of approximately 10%: 3-5% for cephalopelvic disproportion and labor abnormalities, 1-1 1/2% for fetal distress, 3% for breech presentation, and 1-2% for all other indications.
一项针对某社区医院38年剖宫产经验的回顾显示，剖宫产的发生率和指征都发生了显著变化。1972年后，剖宫产率显著上升。这种上升主要是由于头盆不称和产程异常、胎儿窘迫以及臀位分娩导致的初次剖宫产率增加。基于这项研究，我们预计初次剖宫产率约为10%：头盆不称和产程异常为3%-5%，胎儿窘迫为1%-1.5%，臀位分娩为3%，其他所有指征为1%-2%。
