Rosenberg K, Hepburn M, McIlwaine G
Br J Obstet Gynaecol. 1982 Oct;89(10):787-92. doi: 10.1111/j.1471-0528.1982.tb05027.x.
A prospective study of the clinical indications for caesarean sections performed in a large specialist maternity hospital was carried out during the first 3 months of 1981; similar information was collected retrospectively for 1976 and 1971. Demographic changes in the obstetric population were considered. The district section rate increased from 4.4-13% in the last decade. The three most important clinical indications contributing to the rise of caesarean section in primiparae were cephalopelvic disproportion, slow progress and breech presentation. The rate of sections began to fall during the audit and has continued to decrease in the months since. Although it is rather early to draw conclusions, this trend may reflect the critical attention focused on section policy during the period of the study.
1981年的前3个月，在一家大型专业妇产医院对剖宫产的临床指征进行了一项前瞻性研究；并回顾性收集了1976年和1971年的类似信息。考虑了产科人群的人口统计学变化。过去十年中，该地区的剖宫产率从4.4%上升至13%。初产妇剖宫产率上升的三个最重要的临床指征是头盆不称、产程进展缓慢和臀位。在审核期间，剖宫产率开始下降，并且在之后的几个月中持续下降。虽然现在得出结论还为时过早，但这种趋势可能反映了研究期间对剖宫产政策的密切关注。
