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剖宫产相关并发症:不合理使用的重要性

[Cesarean-associated complications: the importance of a scarcely justified use].

作者信息

Cárdenas Rosario

机构信息

Departamento de Atención a la Salud, Universidad Autónoma Metropolitana, Unidad Xochimilco, Calzada del Hueso 1100, Col. Villa Quietud, 04960 México, D. F.

出版信息

Gac Med Mex. 2002 Jul-Aug;138(4):357-66.

PMID:12200880
Abstract

Undoubtedly, cesarean section is one of the most important surgical procedures for solving obstetrical problems. However, the steady increase in its use might be reflecting a non-medically justified utilization. This work reviews the main complications associated to cesarean section and their effect on the health of mothers and their children. An additional objective is to highlight the importance of establishing clinical protocols aimed at identifying those cases in which a cesarean section should be practiced. The implementation of these guidelines might help to reduce the effect that factors such as preferences of medical personnel or women's demand exert upon the increase of cesarean section use.

摘要

毫无疑问,剖宫产是解决产科问题最重要的外科手术之一。然而,其使用量的持续增加可能反映了一种非医学上合理的利用情况。这项工作回顾了与剖宫产相关的主要并发症及其对母亲和孩子健康的影响。另一个目标是强调制定临床方案以识别那些应该进行剖宫产的病例的重要性。实施这些指导方针可能有助于减少诸如医务人员的偏好或女性需求等因素对剖宫产使用增加所产生的影响。

相似文献

1
[Cesarean-associated complications: the importance of a scarcely justified use].剖宫产相关并发症:不合理使用的重要性
Gac Med Mex. 2002 Jul-Aug;138(4):357-66.
2
[Reduction of the number of cesarean sections from 28% to 13%: does it reduce or increase perinatal maternal mortality: the great doubt?].[剖宫产率从28%降至13%:这会降低还是增加围产期孕产妇死亡率?巨大的疑问?]
Ginecol Obstet Mex. 1998 Mar;66:122-5.
3
Pregnancy outcomes of multiple repeated cesarean sections in King Chulalongkorn Memorial Hospital.朱拉隆功国王纪念医院多次重复剖宫产的妊娠结局
J Med Assoc Thai. 2006 Oct;89 Suppl 4:S81-6.
4
Necrotizing fasciitis after cesarean delivery.剖宫产术后坏死性筋膜炎
Obstet Gynecol. 1997 Mar;89(3):409-12. doi: 10.1016/S0029-7844(96)00511-X.
5
When should we perform prophylactic antibiotics in elective cesarean cases?在择期剖宫产病例中,我们应该何时使用预防性抗生素?
Arch Gynecol Obstet. 2009 Jul;280(1):13-8. doi: 10.1007/s00404-008-0845-7. Epub 2008 Nov 26.
6
Cesarean section upon request: is it appropriate for everybody?应要求剖宫产:对每个人都合适吗?
J Perinat Med. 2005;33(2):106-11. doi: 10.1515/JPM.2005.019.
7
Does a Cesarean section delivery always cost more than a vaginal delivery?剖宫产的费用总是比顺产高吗?
J Eval Clin Pract. 2007 Feb;13(1):16-20. doi: 10.1111/j.1365-2753.2006.00690.x.
8
Cesarean section rates and maternal and neonatal mortality in low-, medium-, and high-income countries: an ecological study.低收入、中等收入和高收入国家的剖宫产率及孕产妇和新生儿死亡率:一项生态学研究。
Birth. 2006 Dec;33(4):270-7. doi: 10.1111/j.1523-536X.2006.00118.x.
9
[Increased number of Cesarean sections without medical indications--in spite of the risks].[无医学指征剖宫产数量增加——尽管存在风险]
Lakartidningen. 2007;104(12):942-5.
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Cesarean section on demand: round one.按需剖宫产:第一轮。
J Midwifery Womens Health. 2004 Mar-Apr;49(2):85-6. doi: 10.1016/j.jmwh.2004.01.022.

引用本文的文献

1
From therapeutic to elective cesarean deliveries: factors associated with the increase in cesarean deliveries in Chiapas.从治疗性剖宫产到选择性剖宫产:恰帕斯州剖宫产率上升的相关因素。
Int J Equity Health. 2017 May 25;16(1):88. doi: 10.1186/s12939-017-0582-2.
2
Cesarean delivery as a barrier for breastfeeding initiation: the Puerto Rican experience.剖宫产作为母乳喂养启动的障碍:波多黎各的经验。
J Hum Lact. 2008 Aug;24(3):293-302. doi: 10.1177/0890334408316078. Epub 2008 Jun 6.