과거제왕절개술이 속발분만에 미치는 영향 = The Effect of the Previous Cesarean Section on the Following Delivery

다국어 초록 (Multilingual Abstract)

In order to investigate the effect the effect of the previous C-section on the following delivery, the study was retrospectively carried out based on the clinical records of 99 patients who had deliveries after previous C-section among 2,498 deliveries at the Department of Obstetrics and Gynecology of Jeonbug National University Hospital during the period from Jan. 1, 1980 to Dec. 31, 1983. The results were as follows: 1. The incidence of all the C-section was 21.2%, while that of repeat C-section being 14.6% during the period. 2. The age distribution of repeat C-section was large (50.3%) between 25~29 years old group, being highest between 25~34 years old group. 3. The most of the repeat C-section were performed between 39 and 42 weeks (82.2%) of gestation. 4. In 99 cases of previous C-sections, elective repeat C-sections were performedin 30 cases (30.3%), emergency repeat C-section in 13 cases (13.1%) and repeat C-section after failed trial of labor, 13 cases (13.1%) respectively while vaginal delivery was successed in 43 cases(43.5%). 5. A trial of labor was attempted in 56 cases, resulting in 43 cases (76.8%) of vaginal delivery according to vaccum extraction (76.7%) and spontaneous one (23.3%). 6. The most indications of previous C-section and elective repeat C-section were CPD and malpresentations. Indications for previous C-section of successive vaginal deliveries were CPD (37.2%), malpresentations (30.3%), while that of C-section after failed trial of labor was CPD (69.2%). 7. The lower cervical transverse C-sections were performed in 89 cases (89.9%) of primary C-section and 51 cases (91.0%) of repeat C-section, while classical operations in 6 cases (6.1%) in primary and 2 cases (3.6%) in repeat C-section. 8. Perinatal morbidity was 23.2% and perinatal mortality was 20.2 per 1,000 births. 9. The maternal morbidity was 19.2% and maternal death was not observed.