Larsson Christina, Saltvedt Sissel, Wiklund Ingela, Andolf Ellika
Department of Clinical Sciences, Division of Obstetrics and Gynecology, Karolinska Institutet, Danderyd Hospital, Stockholm, Sweden.
Stockholm South General Hospital, Stockholm, Sweden.
J Obstet Gynaecol Can. 2011 Aug;33(8):796-802. doi: 10.1016/S1701-2163(16)34982-9.
To compare maternal medical outcome after planned vaginal delivery and planned Caesarean section.
We conducted a prospective cohort study of healthy primiparous women in Stockholm, Sweden, who were either scheduled for a planned Caesarean section (for breech presentation or at maternal request) or admitted for a vaginal delivery. Data were analyzed according to intended mode of delivery.
A total of 541 women were included in the study; of these, 247 had a Caesarean section and 294 a vaginal delivery. There were sociodemographic differences between the groups. No difference in mean estimated blood loss or rate of infection was found. Complications in the planned Caesarean section group were lower than previously reported. The difference in estimated blood loss between women undergoing planned Caesarean section and women who had a vaginal delivery was not more than 7%. Morbidity in the planned vaginal delivery group was mostly due to operative interventions. The Caesarean section group had a longer hospital stay than women who delivered vaginally.
We found no difference in short-term medical outcomes between primiparous women undergoing planned Caesarean section and those undergoing planned vaginal delivery after analysis according to the intended mode of delivery.
比较计划阴道分娩和计划剖宫产术后的产妇医学结局。
我们对瑞典斯德哥尔摩的健康初产妇进行了一项前瞻性队列研究，这些产妇要么计划进行剖宫产（因臀位或产妇要求），要么入院准备阴道分娩。根据预期分娩方式对数据进行分析。
共有541名女性纳入研究；其中，247例行剖宫产，294例经阴道分娩。两组之间存在社会人口统计学差异。未发现平均估计失血量或感染率有差异。计划剖宫产组的并发症低于先前报道。计划剖宫产的女性与经阴道分娩的女性之间估计失血量的差异不超过7%。计划阴道分娩组的发病率主要归因于手术干预。剖宫产组的住院时间比经阴道分娩的女性更长。
根据预期分娩方式进行分析后，我们发现计划剖宫产的初产妇与计划阴道分娩的初产妇在短期医学结局上没有差异。
