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最近 8個年間의 首都醫大 産婦人科에서의 複式帝王切開術의 統計的觀察

A Statistical Observation on Abdominal Cearean Section at the Maternity Division, Soo-Do Medical College, during last Eight Years

최신의학 1961년 4권 12호 p.35 ~ 44
김화순,
소속 상세정보
김화순 (  ) - 수도의과대학 산부인과학교실

Abstract


Statistical review was made on the data obtained from the patients who underwent cesarean sections at the Department of Obstetrics & Gynecology, Soo-Do Medical College for the last eight years between November, 1953 and October, 1961. Results are shown below:
1) Among 952 cases of deliveries treated during the period described above, 205 cases of cesarean section were observed, ratio between them, being 21.5 1.33per cent. The reason for the higher incidence of the cesarean. section comparing with the data reported by others are postulated that the total delivery cases treated at the department appear less than other clinic.
25 Incidence of cesarean section in total appears no appreciable annual increase in number. However, incidence of cesarean section for various causes excluding toxemia of the pregnancy in late pregnancy, especially eclampsia is observed in recent year.
3) In reviewing the age distribution of the patients, cases under 30 years of age are 55.2%, patients over 30years of age, 44.8%.
4) Relationship of cesarean section to the number of parity is described as following: Primigravida are 50.2% of total, primipara; 22.4%, cases with para 2; 15.1%, cases with para 3; 8.3%, cases with para 4; 1.5%, cases with para 5; 2.5%.
5) Indications for cesarean section in detail are shown below:
6) The decrease of the incidence of cesarean section for the toxemia of pregnancy in late pregnancy is observed in recent year, on the contrary, an appreciable increase of cesarean section for breech presentation, post-maturity and elderly primigravida are noticeable.
7) In considering the technique of the cesarean section, 81.9% were performed by classical cesarean section, 17.1%, by the lower uterine segment incision.
8) Methods of anesthesia utilized are described below:
a) local anesthesia supplemented with Pentothal and ether. 57.6%
b) general anesthesia with ether. 14.1%
c) general anesthesia with Pentothal and ether. 28.3%
Since ten cases of the infant mortality have been encountered under general anesthesia with Pentothal and ether, present trends are resorted to the local anesthesia supplemented with Pentothal and ether.

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