Nyirjesy P, Nyirjesy K M
Department of Medicine, Temple University Health Sciences Center, Philadelphia, Pennsylvania 19140.
J Reprod Med. 1992 May;37(5):457-60.
The safety of trials of labor after cesarean section has yet to be established in developing countries. Centre Médical Evangélique is a referral hospital in rural northeastern Zaire. From August 1, 1989, to January 15, 1990, 33 women with previous cesarean deliveries were offered a trial of labor. Of them, 22 (67%) had successful vaginal deliveries. The indications for the previous cesarean section did not influence the outcome of the trial of labor. There was a high rate of immediate maternal morbidity but no significant long-term morbidity. The rate of uterine dehiscence was 9.1%. The perinatal death rate, 60.1/1,000, was similar to the overall rate for the institution. Trials of labor after cesarean section are a valid therapeutic option in developing countries.
剖宫产术后试产的安全性在发展中国家尚未得到证实。福音医疗中心是扎伊尔东北部农村地区的一家转诊医院。1989年8月1日至1990年1月15日，33例有剖宫产史的妇女接受了试产。其中22例（67%）成功经阴道分娩。既往剖宫产的指征不影响试产结果。产妇近期发病率较高，但无明显远期发病率。子宫破裂率为9.1%。围产儿死亡率为60.1‰，与该机构的总体死亡率相似。剖宫产术后试产在发展中国家是一种有效的治疗选择。
