University of Utah School of Medicine, Department of Obstetrics and Gynecology, Salt Lake City, UT 84132, USA.
Semin Perinatol. 2010 Aug;34(4):258-66. doi: 10.1053/j.semperi.2010.03.006.
Most studies of cesarean morbidity focus on short term, rather than long term complications. However, women undergoing cesarean delivery are at increased risk for a chronic problems as well. These include pain and surgical adhesions, as well as a possible increased risk for infertility or sub-fertility and perinatal complications in subsequent pregnancies. The most serious risk for women undergoing multiple repeat cesarean deliveries is a dramatically increased risk for life threatening hemorrhage and morbidity in the setting of placenta accreta. This chapter outlines these long term risks of cesarean delivery so that they may be factored into the risk:benefit ratio for women considering vaginal birth after cesarean delivery (VBAC).
大多数关于剖宫产发病率的研究都集中在短期而非长期并发症上。然而，行剖宫产的女性也有发生慢性问题的风险。这些问题包括疼痛和手术粘连，以及在后续妊娠中不孕或低生育力和围产期并发症的风险增加。对于多次重复剖宫产的女性来说，最严重的风险是在胎盘植入的情况下，发生危及生命的出血和发病率的风险显著增加。本章概述了剖宫产的这些长期风险，以便在考虑剖宫产后阴道分娩（VBAC）的女性的风险获益比中考虑这些风险。
