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近10年来在瑞典剖腹产率有不断增高的趋势,目前剖腹产占全部分娩总数的12％,世界上其他地方也有相似的发展情况。近20年来在瑞典产母死亡率不断下降,其原因很多,如生活水平提高、产前医学管理的改善、更积极的产科护理以及麻醉学药物学的发展。由于剖腹产率迅速提高,所以将剖腹产和自然阴道分娩产母死亡的危险进行对比显然有重要的意义。本研究目的是通过瑞典国家医学出生登记材料,统计全国范围内近10年来产母死亡原因的变迁和对施行剖腹产和阴道分娩产母死亡率进行评价。1973—1979年间在瑞典有704,732个婴儿出生,其中经剖腹产的有63,075例,剖腹产占9.0％,此期间有20例产母在分娩期和产褥期死亡。其中13例经剖腹产分娩,在这13例剖腹产后死亡者中5例产
Caesarean section rates in Sweden have been on the rise for nearly 10 years, with caesarean section currently accounting for 12% of all deliveries and similar developments elsewhere in the world. In the past two decades there has been a declining incidence of maternal mortality in Sweden for many reasons, such as improved living standards, improved prenatal medical management, more active obstetric care and the development of narcotic pharmacology. Because of the rapid increase in caesarean section, it is obviously important to compare the risks of mother-to-child caesarean section with spontaneous vaginal delivery. The aim of this study was to assess the changes in the causes of maternal deaths in the past 10 years and the maternal mortality rate in caesarean section and vaginal delivery through the Swedish national registry of medical births. Between 1973 and 1979 there were 704,732 babies born in Sweden, 63,075 with caesarean section and 9.0% with caesarean section, during which time 20 mothers died during childbirth and puerperium. Of these, 13 were delivered by caesarean section, and 5 of these 13 after caesarean section were fatal