Omole-Ohonsi A, Muhammad Z, Iliyasu Z
Department of Obstetrics and Gynaecology, Aminu Kano Teaching Hospital, PMB 3452, Kano, Nigeria.
J Obstet Gynaecol. 2007 Apr;27(3):264-6. doi: 10.1080/01443610701195041.
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.
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。