坦桑尼亚农村地区的剖宫产术后阴道分娩
Vaginal birth after cesarean section in rural Tanzania.
作者信息
van Roosmalen J
机构信息
Department of Obstetrics and Gynaecology, Leiden State University Hospital, The Netherlands.
出版信息
Int J Gynaecol Obstet. 1991 Mar;34(3):211-5. doi: 10.1016/0020-7292(91)90351-5.
PMID:1673936
Abstract
Eighty-seven of 134 women with a history of previous cesarean section in two rural hospitals in Tanzania had a vaginal delivery after a trial of labor. The incidence of scar-rupture was high: in 9 of 134 cases (6.7%). Maternal death, however, did not occur. It is concluded that a trial of labor is justified, and that the risk of scar-rupture should be balanced with the risk of repeat operations.
摘要
在坦桑尼亚两家乡村医院，134名有剖宫产史的女性中，87人在试产后经阴道分娩。瘢痕破裂发生率很高：134例中有9例（6.7%）。然而，并未发生孕产妇死亡。得出的结论是，试产是合理的，且瘢痕破裂风险应与再次手术风险相权衡。
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