Evrard J R, Gold E M, Cahill T F
J Reprod Med. 1980 Apr;24(4):147-52.
A one-year retrospective study of cesarean section (CS) at Women and Infants Hospital of Rhode Island is reported. There were 5,467 women delivered, including 1,011 who delivered by CS, yielding a total CS rate of 18.5% and a primary rate of 13.4%. The four leading indications for primary CS were: dystocia (38.8%), breech presentation (14.9%), malposition (11.9%) and fetal distress (11.3%). Sepsis was responsible for 75% of the complications. The incidence of low-birth-weight infants was 14.2% for primary CS and 6.7% for repeat CS. The perinatal death rate was 21.2% per 1,000. The relationship of these findings to changing obstetric practice is discussed.
本文报告了罗德岛妇女与婴儿医院进行的一项为期一年的剖宫产回顾性研究。共有5467名妇女分娩，其中1011名通过剖宫产分娩，剖宫产总率为18.5%，初产剖宫产率为13.4%。初产剖宫产的四大主要指征为：难产（38.8%）、臀位（14.9%）、胎位异常（11.9%）和胎儿窘迫（11.3%）。败血症是75%并发症的病因。初产剖宫产的低体重儿发生率为14.2%，再次剖宫产为6.7%。围产儿死亡率为每1000例21.2%。文中讨论了这些研究结果与不断变化的产科实践之间的关系。
