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本文介绍1978~1980年五年中117例剖腹产术的发生率,适应症及新生儿死亡原因。这期间分娩总人数为7188例,施行剖腹产术117例,发生率为1.63％,1976年至1979年剖腹产率为0.94~1.4％,1980年为3.12％,相当于前四年中任何一年的2~3倍.70年代国内外剖腹产率在3.5％~12.7％左右。我院剖腹产增加的适应症主要是头位难产、臀位、胎儿宫内窒息及过期妊娠等。头位难产常是滞产的主要原因,尤其是持续性枕后位及胎头高直位,在通过密切观察产程或利用产程图,对活跃期不进展的产妇,及时作了阴道检查,明确诊断后,经催产素静点催产或人工
This article describes the incidence of caesarean section in 117 caesareans between 1978 and 1980, its indications, and the causes of neonatal death. The total number of childbirth during this period was 7,188 cases, the implementation of caesarean section in 117 cases, the incidence was 1.63%, 1976 to 1979 caesarean section rate of 0.94 to 1.4% in 1980 to 3.12%, equivalent to any of the previous four years 2 to 3 times in the 1970s at home and abroad caesarean section rate of 3.5% to 12.7%. Caesarean section in our hospital increased indications are mainly head dystocia, breech, fetal asphyxia and overdue pregnancy. Head dystocia is often the main reason for prolonged labor, especially persistent occiput posterior position and fetal head straight position, through close observation of labor or the use of labor plans, the active phase of the progress of women, made a timely vaginal examination, clear After diagnosis, oxytocin static point of oxytocin or artificial