在有两次或更多次既往剖宫产史后择期再次剖宫产的孕产妇发病率。
Maternal morbidity after elective repeat caesarean section after two or more previous procedures.
作者信息
Lynch Caoimhe M, Kearney Rohna, Turner Michael J
机构信息
Coombe Women's Hospital, 8, Dublin, Ireland.
出版信息
Eur J Obstet Gynecol Reprod Biol. 2003 Jan 10;106(1):10-3. doi: 10.1016/s0301-2115(02)00196-3.
OBJECTIVES
To determine the incidence of maternal morbidity following elective caesarean section in women with a history of at least two previous caesarean sections, and to determine if the incidence of morbidity correlates with the number of previous sections.
STUDY DESIGN
We conducted an individual chart review of all women who had an elective caesarean section because of a history of two previous sections from 1990 to 1999.
RESULTS
There were 67,097 deliveries of babies weighing 500 g or more. The total number of cases eligible for the study was 250. There were 12 cases (4.8%) of placenta praevia of which four required a transfusion and two a hysterectomy. The incidence of wound infection was 6.3% and urinary tract infection was 11.2%. There were no cases of thromboembolism recorded.
CONCLUSIONS
Maternal morbidity with elective repeat caesarean section is low. The major morbidity is associated with placenta praevia. We found no correlation between the incidence of maternal morbidity and the number of previous sections.
目的
确定既往至少有两次剖宫产史的妇女行择期剖宫产术后的孕产妇发病率，并确定发病率是否与既往剖宫产次数相关。
研究设计
我们对1990年至1999年期间因既往有两次剖宫产史而行择期剖宫产的所有妇女进行了个体病历回顾。
结果
共分娩67,097例体重500克或以上的婴儿。符合研究条件的病例总数为250例。前置胎盘12例（4.8%），其中4例需要输血，2例需要子宫切除术。伤口感染发生率为6.3%，尿路感染发生率为11.2%。未记录到血栓栓塞病例。
结论
择期再次剖宫产的孕产妇发病率较低。主要发病情况与前置胎盘有关。我们发现孕产妇发病率与既往剖宫产次数之间无相关性。
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