1974년 5월부터 1980년 4월까지 만 6년간 순천향의대부속 순천향병원 산부인과에 입원하여 태아를 분만한 8631예 중(쌍태아 21예, 삼태아 1예를 포함) 1171예의 제오아절개술을 시행한 환자를 대상으로 하여 그 빈도, 적응증, 연령분포, 임신주수, 제절술식, 마취방법, 병행수술, 제절시 출혈 및 수혈, 수술후 합병증, 모성사망, 신생아 체중 및 주산기 사망율을 문헌고찰과 아울러 임상적으로 관찰 분석하여 다음과 같은 결론을 얻었다. 1. 계절의 빈도는 13.6%이었다. 2. 적응증은 반복제왕절개술이 33.8%로 가장 많았고 아두골반불균형이 20.3% 태위이상이 12.2%등의 순위이었다. 3. 연령 분포는 26-30세 연령군에서 56.0%로 가장 높은 빈도를 보였다. 4. 임신주수에 따른 분포는 임신 39-40주에서 53.9%로 가장 높은 빈도를 나타내었고, 36주 이전에서 6.9%로 높은 빈도를 보인 것은 태아와 산모의 건강에 응급수술을 시행한 까닭으로 생각된다. 5. 제절술식은 자궁협부횡절개술이 96.8%로 대부분을 차지하였고, 그 외 고전적 자궁체부종절개술이 1.2%의 순위였다. 6. 마취방법으로는 전신마취가 97%, 척추마취가 3%이었다. 7. 제절과 병행된 수술은 충수절제술이 33.5%로 가장 높은 빈도이었고 그 외 난관결찰술이 22.6%, 자궁부속기 수술이 2.1%, 제절자궁적출술이 2.0%등의 순위이었다. 8. 수술 중 출혈량은 평균 827cc이었다, 1000 cc이하 출혈량는 80.1%이었다. 9. 모성이환율은 13.0%이었으며, 그 원인으로는 산욕감염이 27.6%로 가장 높은 빈도이었으며 그 외 창상감염이 23.5%, 뇨로 감염증이 14.3%등이었다. 10. 모성사망은 1예도 없었다. 11. 신생아 체중별 분포는 3000-3499 gm군이 42.0%로 가장 높은 빈도이었고 미숙아가 8.6%, 성숙아가 91.4%이었다. 12. 주산기 사망율은 미숙아군에서 26.2%, 성숙아군에서 0.8%로서, 평균 3.0%이었다.

This clinical Analysis was retrospectively carried out based on the clinical charts of patients who had 1171 cesarean sections performed at the department of Obstetrics & Gynecology, S.C.H. College Hospital from May, 1974 to April, 1980. The results were as follows. 1. The rate of cesarean section was 13.6% in 8361 total delivery for the above period and the primary cesarean section accounted for 9.0%, and the repeat cesarean section was 4.6%. 2. Of the indications for primary cesarean sectiona, the C.P.D. was the most prevalent. In the nullipara, C.P.D. was in 35.4% and then malpresentation, wanted C/S, fetal distress in order. There was some difference between the order of indication of nullipara and multipara. In the indications for multipara, the previous cesarean section was the most frequent. Of the patients with previous cesarean section, 10 patients were allowed trial labors, and subsequently 8 patients of them delivered vaginally. 3. The age group of 21 to 25 years was 18.7%, 26 to 30 years was 56.0%. 4. In 53.9% of the cases, cesarean section was done between 39-40 weeks gestation, but in 74.7%, performed between 39-42 week gestation. 5. In the type of operation, lower segment transverse was the most(96.8%), and classical was in 1.2%. 6. In the type of anesthesia, general was in 79% of all cases, spinal was in 0.9%, and epidural was in 1.9%. 7. Of the combined operations, the incidental appendectomy was the most frequent (33.5%), and next was sterilization(22.6%), adnexal operation(2.1%), hysterectomy(2.0%) in order. 8. Average blood loss during operation was estimated about 827 cc, and under 1000 cc of blood was observed in 80.1%. 9. The postoperative complication was noted in 8.4%, and most of which was puerperal fever. 10. In comparision with prematurity and maturity, prematurity was 8.6%, maturity was 91.4%. 11. Perinatal mortality rate was 3.0%. 12. There was no maternal death.