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最近以因难产,保护围产儿等为名,扩大剖腹产指征,致使手术率急激上升,和对前次剖腹产的管理,均成为产科学的基本问题。剖腹产剧增的原因:近十年来剖腹产率由平均的4～7%大幅度上升,在美国有的医院达15～20%,其指征为胎儿窘迫、臀位、前次剖腹产等。也因抗菌素之进步,麻醉,术式,术中术后管理的改善等促使指征有所放宽。胎儿窘迫的手术指征:现以测量胎心率及阵缩的电子连续记录分娩监护仪与间断测胎血pH值为诊断两大主流。使用分娩监护仪在美国1979年调查有64%的医院,在日本由1970年的35.3%增至1977年的65.9%。Haverkamp等(1979)用分娩监护
Recently, due to dystocia, the protection of perinatal children, etc., to expand the indications of caesarean section, resulting in surge in the surge rate, and the management of the previous caesarean section, have become the basic obstetrics problem. Caesarean section causes of increased: the past decade the average caesarean section rate increased from 4 to 7% in some hospitals in the United States up to 15 to 20% of the indications for fetal distress, breech, previous caesarean section. Also because of the progress of antibiotics, anesthesia, surgery, surgery and other postoperative management to improve the indications eased. Fetal distress surgery indications: now to measure the fetal heart rate and scarcity of electronic continuous recording of childbirth monitor with intermittent measurement of fetal blood pH for the diagnosis of the two major mainstream. The use of childbirth monitors in the United States in 1979 surveyed 64% of hospitals in Japan from 35.3% in 1970 to 65.9% in 1977. Haverkamp et al. (1979) used childbirth care