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原发性非医学指征剖宫产术(“要求剖宫产”):基于证据还是现代时尚?

Primary nonmedically indicated cesarean section ("section on request"): evidence based or modern vogue?

作者信息

Grisaru Sorina, Samueloff Arnon

机构信息

Department of Obstetrics & Gynecology, Shaare Zedek Medical Center, PO Box 76100, Jerusalem 91031, Israel.

出版信息

Clin Perinatol. 2004 Sep;31(3):409-30, vii. doi: 10.1016/j.clp.2004.05.002.

DOI:10.1016/j.clp.2004.05.002
PMID:15325529
Abstract

Cesarean section, initially described as an emergency operative procedure for delivering moribund parturients, is now advocated by many as a routine technique with major advantages over vagi-nal delivery. In fact, it has been suggested that labor and vaginal delivery are no longer the desired consequence of pregnancy, a conclusion that reflects perceived medical advantages and patient and physician convenience. This article systematically reviews the various medical implications to the mother and infant of this procedure in the hope of facilitating a more rational approach to this spreading and controversial phenomenon.

摘要

剖宫产最初被描述为一种用于分娩濒死产妇的紧急手术操作,如今许多人主张将其作为一种常规技术,相较于阴道分娩具有诸多主要优势。事实上,有人认为分娩和阴道分娩已不再是妊娠的理想结果,这一结论反映了人们所感知到的医学优势以及患者和医生的便利。本文系统回顾了该手术对母婴的各种医学影响,以期推动对这一不断蔓延且颇具争议的现象采取更合理的应对方法。

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Primary nonmedically indicated cesarean section ("section on request"): evidence based or modern vogue?原发性非医学指征剖宫产术(“要求剖宫产”):基于证据还是现代时尚?
Clin Perinatol. 2004 Sep;31(3):409-30, vii. doi: 10.1016/j.clp.2004.05.002.
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Cesarean delivery on maternal request: wise use of finite resources? A view from the trenches.应产妇要求剖宫产:有限资源的明智利用?来自一线的观点。
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Cesarean section upon request: is it appropriate for everybody?应要求剖宫产:对每个人都合适吗?
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Physical sequelae of caesarean section.剖宫产的身体后遗症。
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引用本文的文献

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Neonatal Transfer Rate and Mode of Delivery from 37th Week of Gestation in a German Perinatal Center Level 1.德国一级围产期中心孕37周起的新生儿转运率及分娩方式
Geburtshilfe Frauenheilkd. 2013 Apr;73(4):324-329. doi: 10.1055/s-0032-1328435.
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A Paradigm Shift to Check the Increasing Trend of Cesarean Delivery is the Need of Hour: But How?转变剖宫产率上升趋势的范式转变迫在眉睫:但如何实现呢?
J Obstet Gynaecol India. 2012 Aug;62(4):391-7. doi: 10.1007/s13224-012-0288-8. Epub 2012 Oct 16.
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Preferences and concerns for delivery: an antepartum survey.
分娩的偏好与担忧:一项产前调查
Int Urogynecol J Pelvic Floor Dysfunct. 2008 Nov;19(11):1527-31. doi: 10.1007/s00192-008-0680-1. Epub 2008 Jul 17.