Tshilombo K M, Mputu L, Nguma M, Wolomby M, Tozin R, Yanga K
Département de Gynécologie-Obstétrique, Cliniques Universitaires de Kinshasa, Zaïre.
J Gynecol Obstet Biol Reprod (Paris). 1991;20(4):568-74.
A retrospective study was carried out to survey 145 women who gave birth who previously had caesarean operations, delivered in the Department of Gynecology and obstetrics of the University Clinic in Kinshasa between 1st January and 31st December 1981. The authors have analysed the obstetric outcome of these pregnant women. Their study gives rise to the following results: The incidence of women who had previously had caesarean operations was 2.4%. 92 women (63.4%) delivered normally and 53 (36.6%) had another Caesarean operation. Favourable factors leading to a normal delivery were previous vaginal delivery, particularly after a caesarean operation, and a vertex cephalic presentation. The growing number of Caesarean operations had led to many repeat operations. Long labour is one of the principal factors leading to ruptured uterus which did not seem to make the prognosis for the mother any worse. On the other hand fetal prognosis was saddled with an increased mortality rate (37.5%). Even this high figure is better than the prognosis in previous series: 50% in 1975 [24], and 46% in 1983 [26].
开展了一项回顾性研究，对1981年1月1日至12月31日期间在金沙萨大学诊所妇产科分娩的145名曾做过剖宫产手术的产妇进行调查。作者分析了这些孕妇的产科结局。他们的研究得出以下结果：曾做过剖宫产手术的产妇发生率为2.4%。92名妇女（63.4%）顺产，53名（36.6%）再次接受剖宫产手术。导致顺产的有利因素是既往阴道分娩，尤其是剖宫产术后阴道分娩，以及头先露。剖宫产手术数量的增加导致了许多再次手术。产程延长是导致子宫破裂的主要因素之一，这似乎并未使母亲的预后更差。另一方面，胎儿预后的死亡率有所增加（37.5%）。即便这个高数字也比之前系列研究中的预后情况要好：1975年为50%[24]，1983年为46%[26]。
