Weber Anne M
Pelvic Floor Disorders Program, Contraception and Reproductive Health Branch, Center for Population Research, National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), Bethesda, MD, USA.
Clin Obstet Gynecol. 2007 Jun;50(2):510-7. doi: 10.1097/GRF.0b013e31804c9cae.
Elective cesarean delivery, or cesarean delivery on maternal request, was the focus of a recent State-of-the-Science Conference sponsored by the National Institutes of Health. On the basis of the information from comprehensive literature review and expert speakers, the panelists determined that weak-quality evidence supported elective cesarean delivery over planned vaginal delivery for urinary incontinence, although the duration of effect is not clear. For other maternal outcomes related to pelvic floor function, including pelvic organ prolapse, fecal incontinence and other anorectal symptoms, and sexual function, weak-quality evidence did not favor either route of delivery.
择期剖宫产，即应产妇要求进行的剖宫产，是美国国立卫生研究院近期主办的一次科学现状会议的焦点。根据全面文献综述和专家发言提供的信息，小组成员确定，证据质量薄弱，表明择期剖宫产在治疗尿失禁方面优于计划阴道分娩，不过效果持续时间尚不清楚。对于与盆底功能相关的其他产妇结局，包括盆腔器官脱垂、大便失禁和其他肛肠症状以及性功能，证据质量薄弱，无法表明哪种分娩方式更具优势。
