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本文分析我院1982～1988年间16130例中4465例剖宫产的指征,并对产母和围产儿死亡率、产后出血、胎儿窘迫和新生儿窒息的发生率进行分析。七年内平均剖宫产率为27.68%,呈逐年上升。剖宫产指征中头盆不称占首位,其次为胎儿窘迫,内科合并症和重度妊高征占第三位。在早产儿和低体重儿216例的剖宫产中重度妊高征为首位。本文剖宫产后围产儿死亡率低于其它分娩方式,而产母死亡率、产后出血、新生儿窒息发生无不同。本文认为对重度妊高征和内科合并症在良好的监护下手术是安全的。
This article analyzes the indications of 4465 cases of cesarean section in 16,130 cases from 1982 to 1988 in our hospital and analyzes the incidence of maternal and perinatal mortality, postpartum hemorrhage, fetal distress and neonatal asphyxia. The average rate of cesarean section within seven years was 27.68%, showing a year-on-year increase. Cesarean indications in the first basin is not known, followed by fetal distress, medical complications and severe pregnancy-induced hypertension accounted for third place. In preterm children and low birth weight children 216 cases of cesarean section in the first place of severe pregnancy-induced hypertension. This article after cesarean section perinatal mortality rate is lower than other modes of delivery, while the maternal mortality, postpartum hemorrhage, neonatal asphyxia no different. This paper argues that for severe PIH and medical comorbidities, surgery is safe under good supervision.