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        제왕절개술에 관한 임상적 고찰

        황용우(YW Hwang),이철진(CJ Lee),김현중(HJ Kim),최영희(YH Choi),서국재(KJ Suh) 대한산부인과학회 1981 Obstetrics & Gynecology Science Vol.24 No.10

        1. Cesarean section rate was 7.67%. 2. The age distribution of Cesarean section showed 57.5% between 25 and 30 year, 20.0% between 30 and 35 years, 14.7% between 20 and 25 years and 5.0% between 35 and 40 years respectively. 3. Indication for Cesarean section were C.P.D (40.9%) malposition (17.5%) placenta previa (8.4%) toxemia (3.1%) twin (2.5%) placental abruption (2.2%), and fetal distress (2.7%). 4. Among the indication of primary Cesarean section in multiparous dystocia was the most prevalent (44.2%) and the others were hemorrhage (18.4%) malposition (18.4%) and miscellaneous. 5. In the type of operation Lower cervical transverse type was most common(84.7%) and classical type was 10.6%. 6. The general anesthesia was performed at the rate of 90.94% and spinal was 9.06%. 7. Tubal ligation (15.3%) and appendectomy (5.6%) were performed coincidentally. 8. Among the Cesarean section cases, 266 cases (83.1%) were performed on emergency and the others electively. 9. The gestational ages at the time of operation were 40 weeks (30.0%) 41 weeks (16.6%) and 42 weeks (10.9%) 10. Apgar scores of the newborn in 2500 gram or more of baby weight was over 7 points at 286 cases (87.2%). 11. Maternal complications rate due to Cesarean section was 18.1% and mortality rate was 0.94%. 12. perinatal death rate of fetuses and newborn was 8.23%.

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