剖宫产：趋势与发病率
Cesarean section: trends and morbidity.
作者信息
Baskett T F, McMillen R M
出版信息
Can Med Assoc J. 1981 Oct 1;125(7):723-6.
A review of 1683 cesarean sections performed at one hospital in a 3-year period (1977-79) showed that the cesarean section rate had trebled since 1967-79, the rates being 16.9% and 5.8%. The main indications for cesarean section responsible for this rise were dystocia, breech presentation and a previous cesarean section. AFter the operation 23.3% of received antibiotics. If the cesarean section rate is to fall, the biggest impact can be made by planning vaginal delivery in selected patients with a previous cesarean section and by improving the management of nonprogressive labour.
对一家医院在1977年至1979年这3年期间进行的1683例剖宫产手术的回顾显示，自1967年至1979年以来剖宫产率增长了两倍，分别为16.9%和5.8%。导致这种增长的剖宫产主要指征为难产、臀位和既往剖宫产史。术后23.3%的患者接受了抗生素治疗。如果要降低剖宫产率，对有既往剖宫产史的特定患者计划阴道分娩以及改善产程无进展的处理，可能会产生最大影响。
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