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产程图在剖宫产术后阴道分娩中的价值。

Value of partogram in vaginal birth after caesarean section.

作者信息

Omole-Ohonsi A, Muhammad Z, Iliyasu Z

机构信息

Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, PMB 3452, Kano, Nigeria.

出版信息

J Obstet Gynaecol. 2007 Apr;27(3):264-6. doi: 10.1080/01443610701195041.

DOI:10.1080/01443610701195041
PMID:17464807
Abstract

A prospective partographic study of labour in 102 women with one previous lower uterine segment caesarean section in the Aminu Kano Teaching Hospital, Kano, Nigeria, was carried out to assess the predictive value of partogram on the outcome of labour in vaginal birth after caesarean section (VBACS). The outcomes measured were the duration of labour, cervical dilatation rate (CDR), and average cervical dilatation rate (ACDR). The data obtained were analysed using Z-test and tests of validity. A successful vaginal delivery rate of 72.5% was achieved. The cervical dilatation rate, average cervical dilatation rate and the alert line were found to be significant predictors of the outcome of labour in VBACS. These findings have important implications in establishing policies for monitoring labour in VBACS.

摘要

在尼日利亚卡诺的阿米努·卡诺教学医院,对102名曾有一次子宫下段剖宫产史的女性进行了一项前瞻性产程图研究,以评估产程图对剖宫产术后阴道分娩(VBACS)产程结局的预测价值。所测量的结局包括产程持续时间、宫颈扩张率(CDR)和平均宫颈扩张率(ACDR)。使用Z检验和有效性检验对获得的数据进行分析。阴道分娩成功率达到72.5%。发现宫颈扩张率、平均宫颈扩张率和警戒线是VBACS产程结局的重要预测指标。这些发现对制定VBACS产程监测政策具有重要意义。

相似文献

1
Value of partogram in vaginal birth after caesarean section.产程图在剖宫产术后阴道分娩中的价值。
J Obstet Gynaecol. 2007 Apr;27(3):264-6. doi: 10.1080/01443610701195041.
2
Pattern of cervical dilatation in previous lower segment caesarean section patients.既往下段剖宫产患者的宫颈扩张模式。
J Indian Med Assoc. 1997 May;95(5):131-4.
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Vaginal birth after one previous Caesarean section--evaluation of predictive factors.经一次剖宫产术后的阴道分娩——预测因素评估
Afr J Med Med Sci. 2001 Mar-Jun;30(1-2):61-6.
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Impact of maximal cervical dilatation at primary caesarean delivery on mode of delivery in the following pregnancy.初次剖宫产时宫颈最大扩张程度对后续妊娠分娩方式的影响。
Niger Postgrad Med J. 2003 Sep;10(3):173-6.
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Vaginal birth after one previous caesarean section in a tertiary institution in Nigeria.尼日利亚一家三级医疗机构中,经产妇曾行剖宫产术后经阴道分娩。
J Obstet Gynaecol. 2004 Nov;24(8):886-90. doi: 10.1080/01443610400018742.
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Delivery after a lower segment caesarean section.下段剖宫产术后分娩。
Singapore Med J. 1993 Feb;34(1):62-6.
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Outcome of vaginal birth after caesarean section in women with one previous section and spontaneous onset of labour.有过一次剖宫产史且自发性临产的产妇行剖宫产分娩的结局。
East Mediterr Health J. 2011 Aug;17(8):646-50.
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Cervical dilatation over time is a poor predictor of severe adverse birth outcomes: a diagnostic accuracy study.随着时间的推移,宫颈扩张对严重不良分娩结局的预测效果较差:一项诊断准确性研究。
BJOG. 2018 Jul;125(8):991-1000. doi: 10.1111/1471-0528.15205. Epub 2018 Apr 17.
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引用本文的文献

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Uterine rupture risk in a trial of labor after cesarean section with and without previous vaginal births.剖宫产术后再次经阴道分娩与既往无阴道分娩史的剖宫产术后试产的子宫破裂风险。
Arch Gynecol Obstet. 2022 Jun;305(6):1633-1639. doi: 10.1007/s00404-021-06368-1. Epub 2022 Jan 30.
2
The pattern of labor preceding uterine rupture.子宫破裂前的分娩模式。
Am J Obstet Gynecol. 2012 Sep;207(3):210.e1-6. doi: 10.1016/j.ajog.2012.06.028. Epub 2012 Jun 30.