Schiff E, Sivan E, Ben-Baruch G, Mashiach S
Department of Obstetrics and Gynecology, Tel Aviv University, Sheba Medical Center, Tel Hashomer, Israel.
J Reprod Med. 1992 Jun;37(6):541-4.
Labor characteristics in 89 women undergoing a second vaginal delivery 10-18 years after the first were compared retrospectively with those of 136 women with an interval of 1-4 years between their first and second vaginal deliveries and with those of 128 nulliparous women. The pelvic findings on admission, average length of stages 1 and 2 of labor, average cervical dilation per hour and rates of surgical intervention in relation to arrest disorders were similar in the two multiparous groups and significantly different from these parameters in the nulliparous group. Women with long intervals between their first and second vaginal deliveries should be managed in the same way as are other multiparas and not like nulliparas with respect to such issues as indications for oxytocin treatment, surgical intervention and use of conduction anesthesia.
对89名在首次阴道分娩后10至18年进行第二次阴道分娩的女性的分娩特征，与136名首次和第二次阴道分娩间隔为1至4年的女性以及128名未生育女性的分娩特征进行了回顾性比较。两组经产妇入院时的盆腔检查结果、第一产程和第二产程的平均时长、每小时宫颈扩张平均值以及与产程停滞相关的手术干预率相似，且与未生育组的这些参数有显著差异。就缩宫素治疗指征、手术干预和传导麻醉使用等问题而言，首次和第二次阴道分娩间隔时间长的女性应与其他经产妇一样进行管理，而不应与未生育女性一样。
