英国伦敦剖宫产术后的首选及实际分娩方式
Preferred and actual delivery mode after a cesarean in London, UK.
作者信息
Selo-Ojeme Dan, Abulhassan Nashwa, Mandal Ramna, Tirlapur Seema, Selo-Ojeme Uati
机构信息
Department of Obstetrics and Gynecology, Women and Children's Directorate, Barnet and Chase Farm Hospitals NHS Trust, Chase Farm Hospital, London, UK.
出版信息
Int J Gynaecol Obstet. 2008 Aug;102(2):156-9. doi: 10.1016/j.ijgo.2008.03.008. Epub 2008 Apr 24.
OBJECTIVE
To determine the delivery mode preferred by pregnant women with 1 previous cesarean delivery and to investigate the relationship between preferred and actual mode of delivery.
METHOD
We reviewed the records of 215 women who were delivered in a London hospital with a history of 1 cesarean delivery. Women who planned an elective repeat cesarean section (ERCS) were compared with those who planned a vaginal birth after cesarean (VBAC).
RESULTS
Although 55.3% chose VBAC overall, only 37.8% of those who chose it were delivered by it, whereas 94.8% of those who chose ERCS were delivered by ERCS. Nonwhite women were more likely to choose VBAC than white women (odds ratio, 3.5; 95% confidence interval, 1.9-6.1) but less likely to be deliver by it (odds ratio, 0.31; 95% confidence interval, 0.14-0.68).
CONCLUSION
In this study, VBAC was the method of delivery preferred by most women. Nonwhite women were more likely to choose VBAC over ERCS but less likely to be delivered by VBAC.
目的
确定有1次剖宫产史的孕妇偏好的分娩方式，并调查偏好的分娩方式与实际分娩方式之间的关系。
方法
我们回顾了在伦敦一家医院分娩的215名有1次剖宫产史的女性的记录。将计划择期再次剖宫产（ERCS）的女性与计划剖宫产术后阴道分娩（VBAC）的女性进行比较。
结果
尽管总体上有55.3%的女性选择VBAC，但选择VBAC的女性中只有37.8%通过VBAC分娩，而选择ERCS的女性中有94.8%通过ERCS分娩。非白人女性比白人女性更倾向于选择VBAC（优势比，3.5；95%置信区间，1.9 - 6.1），但通过VBAC分娩的可能性较小（优势比，0.31；95%置信区间，0.14 - 0.68）。
结论
在本研究中，VBAC是大多数女性偏好的分娩方式。非白人女性比白人女性更倾向于选择VBAC而非ERCS，但通过VBAC分娩的可能性较小。
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