[Caesarean section - morbidity of mother and child (author's transl)].

In the years 1974, 1975, 1976, 1977 and 1978 641 cesarean sections were performed in the 1st Department of Gynecology and Obstetrics of the University of Vienna. All these were analysed in respect of diagnosis in each case as well as morbidity of mother and child. Especially the increase of the preventive indications in care of the child was shown. Vital and preventive indications were related to each other like 60,6% to 39,4%. The preventive indications were increasing. Obviously is this development by the childish indications, especially by children with extended legs. For this reason the vital indications concluded 69,1% in 1974, only 53,8% in 1978. In the same period the preventive indications increased from 30,9% to 46,2%. At the further indications we expect an addition of the diagnosis: st. p. sectio due to the general increasing of section-frequency, which causes the fact, that there will be more pregnant women who had been sectioned. Fever, parametritis and endometritis according to the morbidity of the mother contain 38%, by these and other complications a prolonged stationing more than two weeks is caused. The low Apgar-score of the newborns is due to the greater number of children below 2.500 g (at last: 19,18%). The perinatal mortality of the observed period was 3,06% by all cesarean sections; 12,8% belonged to the group with less than 2.500 g.