Nezbeda J, Altmann P, Reinold E
Z Geburtshilfe Perinatol. 1980 Oct;184(5):371-7.
In the years 1974, 1975, 1976, 1977 and 1978 641 cesarean sections were performed in the 1st Department of Gynecology and Obstetrics of the University of Vienna. All these were analysed in respect of diagnosis in each case as well as morbidity of mother and child. Especially the increase of the preventive indications in care of the child was shown. Vital and preventive indications were related to each other like 60,6% to 39,4%. The preventive indications were increasing. Obviously is this development by the childish indications, especially by children with extended legs. For this reason the vital indications concluded 69,1% in 1974, only 53,8% in 1978. In the same period the preventive indications increased from 30,9% to 46,2%. At the further indications we expect an addition of the diagnosis: st. p. sectio due to the general increasing of section-frequency, which causes the fact, that there will be more pregnant women who had been sectioned. Fever, parametritis and endometritis according to the morbidity of the mother contain 38%, by these and other complications a prolonged stationing more than two weeks is caused. The low Apgar-score of the newborns is due to the greater number of children below 2.500 g (at last: 19,18%). The perinatal mortality of the observed period was 3,06% by all cesarean sections; 12,8% belonged to the group with less than 2.500 g.
1974年、1975年、1976年、1977年和1978年，维也纳大学第一妇产科进行了641例剖宫产手术。对所有这些病例的诊断以及母婴发病率进行了分析。特别显示了在照顾胎儿方面预防性指征的增加。生命指征与预防性指征的比例为60.6%比39.4%。预防性指征在增加。显然，这种发展是由胎儿指征引起的，尤其是腿部伸展的胎儿。因此，生命指征在1974年占69.1%，在1978年仅占53.8%。同期，预防性指征从30.9%增加到46.2%。对于其他指征，我们预计会增加“因剖宫产频率普遍增加导致的选择性剖宫产”这一诊断，这会导致更多孕妇接受过剖宫产手术。根据母亲的发病率，发热、盆腔蜂窝织炎和子宫内膜炎占38%，这些及其他并发症导致产妇住院时间延长超过两周。新生儿阿氏评分低是由于体重低于2500克的婴儿数量较多（最后：19.18%）。观察期内所有剖宫产的围产儿死亡率为3.06%；体重低于2500克的组占12.8%。
