作者报导德国Nürnberg医院1967年至1976年分娩37,070例,其中剖腹产分娩1,613例(4.3%),分娩数自1967年4,750例下降到1976年3,061例,但剖腹产率自2.7%上升至6.3%。剖腹产指征有:(1)母亲方面;(2)母-婴方面;(3)胎儿方面。但手术指征常是多种原因的。剖腹产手术指征中胎儿宫内窘迫原因为第一位,占剖腹产手术的1/3,其次为继发宫缩乏力,约占1/4,臀位产为第三位,占23%,相对头盆不称占20%,其它指征不足10%。近年来剖腹产手术指征有变化,由于羊膜腔镜,胎儿心脏描记仪等有效的胎儿监护方法的应用,因而 The authors report 37,770 deliveries from 1967 to 1976 in Nürnberg Hospital in Germany, of which 1,613 were delivered by caesarean section (4.3%). The number of deliveries decreased from 4,750 in 1967 to 3,061 in 1976, but the caesarean section rate increased from 2.7% to 6.3%. Cesarean indications are: (1) mother; (2) mother-infant aspects; (3) fetal aspects. However, surgical indications are often a variety of reasons. Cesarean indications for fetal distress in the first cause, accounting for 1/3 of caesarean section, followed by secondary uterine inertia, accounting for about 1/4, breech third place, accounting for 23%, relative Tonsal basin does not account for 20%, other indications less than 10%. In recent years, indications for caesarean section have changed, due to the application of effective fetal monitoring methods such as amniocentesis and fetal cardiograph, and therefore