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Caesarean Section in Cases of Imminent Foetal Asphyxia

A study was made of 112 cases of imminent foetal asphyxia, delivered by Caesarean section at the Sabbatsberg Hospital 1.1.1966–31.12.1968. As controls 84 cases on which Caesarean section was performed for reasons other than asphyxia were chosen from the same period. A follow-up was made of the children in both groups in order to clarify whether the diagnosis of imminent asphyxia was correct, and if foetuses delivered by Caesarean section for imminent asphyxia developed normally. Of the 112 children with imminent foetal asphyxia 23 had an Apgar score of less than 7 after 1 min. 29 had the umbilical cord wound around the neck in such a way that it could explain the imminent asphyxia. At the follow up 25 out of 112 children in the asphyxia group were not normally developed or had physical malformations of some kind. Only 4 infants in the control group had the same signs.