1975년 2월 1일부터 1978년 7월 31일까지 3년 6개월동안 전북의대 부속병원 산부인과에 입원하여 1,000g 이상의 태아를 분만한 1,179예중 의무기록이 만족스러웠던 193예를 임상 통계학적으로 고찰하여 다음과 같은 결론을 얻었다. 1. 제절의 빈도는 16.4%였다. 2. 제절의 적응증은 아두골반불균형이 34.7%로 수위였으며 태위이상 14.5%, 전치태반 13.5%, 반복제절 9.8%, 태반조기박리 9.8%, 자간증 및 자간전증 8.3% 순위였으며 골반위의 제절율은 18.0%였다. 3. 연령분포는 26∼30세군이 43.0%, 21∼25세군 26.4%, 31∼35세군 16.6%의 순위이고 35세 이하가 87.1%이다. 4. 제절술식은 자궁협부의 횡절개술이 88.1%, 자궁체부종절개술이 10.3%, 제절자궁전적출술이 1.6%이었다. 5. 전예에서 전신마취를 시행하였다. 6. 선택적제절이 19.2%, 응급제절이 80.8%였고 수혈은 44.9%에서 시행하였으며 응급제절 43.6%, 선택제절 45.9%에서 수혈을 시행하였다. 7. 모성이병율은 13.0%이었고 산욕열 복부창상감염이 주 내용이었다. 8. 모성사망은 1예(0.52%)였다. 9. 미숙아 14.2%, 성숙아 85.8%, 3,000∼3,500g군이 37.6%였다. 10. 주산기 사망률은 19.2%였으며 사산 20예, 신생아사망 12예였고 그중 미숙아군이 18예로 과반수 이상을 차지하였다.

Of 1,179 deliveries performed at Jeonbug National University Hospital From Feb. 1. 1975 to July 31. 1978, 193 cases of C-section was reviewed clinically. The results were as follows. 1. The rate of C-section was 16.4% for the period. 2. The age group of 26 to 30 years was 43.0% and 86.6% of all were below the age of 35 years. 3. In indications, C.P.D. was the most prevalent with 34.7% and malpresentation 14.5%, placenta previa 13.5%, repeated C-section 9.8%. There was some difference between the order of indication of primigravida and multipara. 4. In the type of operation, lower cervical transverse C-section was 88.1%, classical 10.3% and C-hysterectomy 17.6%. 5. Each of C-section were performed under the general anesthesia. 6. Of 193 cases of C-section, emergency C-section was 80.8%, elective 19.2%. Whole blood transfusion was carried out in the cases of 44.9% with emergency 43.6%, elective 45.9% respectively. 7. Apger score 6-10 was 74.1% and the mature newborn was 85.8%. 8. Perinatal mortality rate was 19.2%, stillbirth of which was 20 cases, the premature 18 cases. 9. The postoperative complications were noted in 13.0%, most of which were puerperal fever, wound infection of abdomen. 10. Maternal death occured in one case.