Cesarean Section in Nagoya National Hospital

• Published in: Iryo Vol. 19; no. 2; pp. 160 - 164
• Main Authors: IMAIZUMI, Shizuo, SUZUOKI, Yozo, HIRATAKE, Shoji, TORII, Kazutoshi
• Format: Journal Article
• Language: Japanese
• Published: Japan Japanese Society of National Medical Services 01.02.1965
• Subjects: Anesthesia; Anesthesia, Obstetrical; Cesarean Section; Female; Fetal Death; Humans; Obstetrics; Old Medline; Pregnancy; ANESTHESIA, OBSTETRICAL; CESAREAN SECTION; FETAL DEATH; PREGNANCY
• ISSN: 0021-1699; 1884-8729
• DOI: 10.11261/iryo1946.19.160

From September, 1961 through August, 1963, there were 2, 846 deliveries at the Nagoya National Hospital, of which 35 or 1.3 per cent were done by cesarean section. Indication: The number of each condition was as follows: placenta previa 11, cervical dystocia 8, uterine inertia 6, breech presentation 6, elderly primigravida 4, cephalo pelvic disproportion 4. uterine myoma 4, premature separation of the placenta 3, cervical cancer 1 and uterine rupture 1. Although uterine inertia, cervical dystocia, breech presentation and elderly primigravida are, certainly unfavorable conditions for vaginal delivery, we did not take them as an immediate indication for cesarean section, unless one of these conditions was present in association with other complications. incidence of ruptured membrane: The number of patients who had ruptured membrane for varying length, of time prior to cesarean section were 10, i. e., 29 per cent, which was relatively high, because of late decision of indication by the above stated principle. Type of operation: During the period of this study, 28 of the operations were done using the low cervical technique. Of the rest of cases, 5 supravaginal hysterectomies. one hysterectomy. and one panhysterectomy were performed. Classical cesarean section was not done. Type of anesthsia: In 18 cases, endotracheal anesthesia was done using either nitrous oxide, ether or cyclopropane with S. C. C. and D. T. C.. Low spinal anesthesia was used in 14 cases. Local anesthesia in combination with intravenous anesthesia was used in 3 cases. There were no deaths ascribable to anesthesia nor were there any sequelae of cinsequence following anesthesia. Complication: No significant postoperative complications were observed except far one wound infection of the abdominal wall. There was no maternal death, Three stillbirths occurred in patients operated for abrutio placentae. Three neonatal deaths occurred in babies delivered in placenta previa, and prematurity was considered to be the cause of deat