Ozumba B C, Mbadiwe I J
Department of Obstetrics and Gynecology, University of Nigeria Teaching Hospital, Enugu.
J Natl Med Assoc. 1993 Nov;85(11):857-60.
A retrospective study of cases of preterm caesarean section was carried out at the University of Nigeria Teaching Hospital between January 1985 and December 1989. A total of 1973 caesarean sections were performed; 167 (8%) of these were preterm sections. Most of the patients were "booked" (133 cases, 80%) while 34 patients (20%) were "unbooked." The most common indications for preterm caesarean sections were preeclampsia, placenta previa, and premature rupture of membranes. The perinatal and maternal mortality were high: 257 per 1000 and 11 per 1000, respectively. Timely hospital admission, better intrapartum care, and vaginal delivery of very low birthweight babies are suggested to reduce the incidence of preterm caesarean section and its attendant complications in our hospital practice.
1985年1月至1989年12月期间，在尼日利亚大学教学医院对早产剖宫产病例进行了一项回顾性研究。共进行了1973例剖宫产手术；其中167例（8%）为早产剖宫产。大多数患者是“已预约”的（133例，80%），而34例患者（20%）是“未预约”的。早产剖宫产最常见的指征是先兆子痫、前置胎盘和胎膜早破。围产期和孕产妇死亡率很高：分别为每1000例中有257例和11例。建议及时入院、改善产时护理以及对极低体重儿进行阴道分娩，以降低我院实践中早产剖宫产的发生率及其相关并发症。
