识别子宫破裂的风险因素。

Identifying risk factors for uterine rupture.

作者信息

Smith Jennifer G, Mertz Heather L, Merrill David C

机构信息

Section on Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Wake Forest University, Medical Center Boulevard, Winston-Salem, NC 27157, USA.

出版信息

Clin Perinatol. 2008 Mar;35(1):85-99, viii. doi: 10.1016/j.clp.2007.11.008.

DOI:10.1016/j.clp.2007.11.008

PMID:18280877

Abstract

Uterine rupture, whether in the setting of a prior uterine incision or in an unscarred uterus, is an obstetric emergency with potentially catastrophic consequences for both mother and child. Numerous studies have been published regarding various risk factors associated with uterine rupture. Despite the mounting data regarding both antepartum and intrapartum factors, it currently is impossible to predict in whom a uterine rupture will occur. This article reviews the data regarding these antepartum and intrapartum predictors for uterine rupture. The author hopes that the information presented in this article will help clinicians assess an individual's risk for uterine rupture.

摘要

子宫破裂，无论发生在既往有子宫切口的情况下还是未受过损伤的子宫，都是一种产科急症，对母婴都可能造成灾难性后果。关于与子宫破裂相关的各种危险因素，已经发表了大量研究。尽管有越来越多关于产前和产时因素的数据，但目前仍无法预测谁会发生子宫破裂。本文回顾了有关子宫破裂的这些产前和产时预测因素的数据。作者希望本文提供的信息将有助于临床医生评估个体发生子宫破裂的风险。