Adeleye J A
Int Surg. 1977 Feb;62(2):97-9.
A total of 13,692 deliveries were conducted at University College Hospital, Ibadan. These included 2,764 (22%) cesarean sections, 63 (2.3%) of which were primary elective sections. The case records of 44 of these patients have been analyzed to determine the place of primary elective cesarean section in modern obstetric practice in Nigeria. No maternal deaths occurred and morbidity attributable to the operation was low and not serious. One perinatal death occurred and morbidity was low and less serious than maternal morbidity. There was no record of a uterine scar rupture occurring in subsequent pregnancies in any of these patients. Primary elective cesarean section, if used discriminately, will reduce difficult labor with the attendant risks of maternal and fetal mortality and morbidity in Nigeria and developing countries. The role which improved socioeconomic conditions and health education plays is emphasized.
伊巴丹大学学院医院共进行了13692例分娩。其中包括2764例（22%）剖宫产，其中63例（2.3%）为初次选择性剖宫产。对其中44例患者的病例记录进行了分析，以确定初次选择性剖宫产在尼日利亚现代产科实践中的地位。未发生孕产妇死亡，手术所致发病率较低且不严重。发生了1例围产期死亡，发病率较低且不如孕产妇发病率严重。这些患者中没有任何一人在随后的妊娠中出现子宫瘢痕破裂的记录。如果谨慎使用，初次选择性剖宫产将减少尼日利亚和发展中国家的难产以及随之而来的母婴死亡和发病风险。强调了改善社会经济条件和健康教育所起的作用。
