Popov I, Gorchev G, Velkova A
Akush Ginekol (Sofiia). 1993;32(2):1-3.
The authors looking for a connection between perinatal mortality (PM) and caesarean delivery (CD). A 15-year period has been analysed with 66,451 births, 943 PM cases and 3145 CD cases. The total PM and PM after CD show a tendency towards becoming equal towards the end of the investigated period. The authors consider that the margin of 10/1000 can not be influenced by the rate of the operation growing higher. PM after CD is mainly influenced by biological factors, doctor's qualifications, the timely stated reasons for the operation and the postoperative treatment and care for the baby. A conclusion has been drawn for the multiple factor caused of PM after CD.
作者们在探寻围产期死亡率(PM)与剖宫产(CD)之间的联系。对15年期间的66451例分娩、943例围产期死亡病例和3145例剖宫产病例进行了分析。在调查期结束时,总的围产期死亡率以及剖宫产后的围产期死亡率呈现出趋于相等的趋势。作者们认为,千分之十的差距不会受到手术率升高的影响。剖宫产后的围产期死亡率主要受生物学因素、医生资质、手术的适时说明理由以及术后对婴儿的治疗和护理影响。得出了剖宫产后围产期死亡由多种因素导致的结论。