제왕절개술에 관한 임상적 고찰을 보고하는 바이다.

A clinical survey has been made on 202 cases of c-section out of 2119 deliveries at the Department of Obstetrics & Gynecology, Korea General Hospital from Nov. 1, 1968 to Feb. 28, 1971. The clinical datas obtained were as follows. 1. The secton rate was 9.5%. It should be noted that the majority of cases were private patients. 2. In indication, the C.P.D was the most prevalent. Its rate was 32.2% and others were as follows; previous c-section 22.8%, malpresentation 8.4%, placenta previa 7.4%, fetal distress 5.4%, wanted c-section 5.4%, uterine dysfunction 3.9%, elderly primipara 3.0%, abruptio placenta 2.5%, toxemia of pregnancy 2.0% and so on. The wanted c-section recently became an indication of c-section but further study in various aspects will be needed. 3. The incidence of primary c-section in multipara was 2.8% and the C.P.D was the most frequent indicaton for primary c-section in multipara. We would like to emphasize the C.P.D as the complication in multipara not likely to be recognized until after considerable delay. 4. 25 cases(25.5%) of c-section out of 98 cases of breech presentation were performed. In indication, borderline contracted pelvis was the most prevalent and its rate was 12%. 5. The types of operation; lower cervical transverse type was 97%, classical type was 1.5% and cesarean hysterectomy was 1.5%. 6. The rate of vaginal delivery following previous c-setion was 6.1% but the incidence of vaginal delivery following previous c-section may be increased according to the improvement of communication in order to get correct medical information and mobility for emergency surgery. 7. The rate of postoperative complication was 16.3%. The most frequent complication was puerperal morbidity. 8. There was one case of maternal death(0.5%). This patient came in with eclamptic convulsion which was recovered by medical treatment. The c-section was performed on her 36 hrs following recovery because of unrippen cervix. She died of c.v.a. on the 5th postoperative day.