Department of Obstetrics and Gynecology, Stanford University, Stanford, CA 94304, USA.
Am J Obstet Gynecol. 2011 Dec;205(6 Suppl):S11-8. doi: 10.1016/j.ajog.2011.09.029. Epub 2011 Oct 6.
The unprecedented high rate of cesarean delivery and the declining rate of vaginal birth after cesarean delivery make necessary awareness of the potential complications that are associated with repeat cesarean delivery. This article reviews the epidemiologic features of cesarean delivery and the perioperative risks that are associated with repeat cesarean delivery. These risks include increased adhesions, infections and wound complications, bleeding, bowel injury and obstruction, hysterectomy, operative time, hospital stay, and delays in delivery.
剖宫产率前所未有地高,而剖宫产术后阴道分娩率却在下降,这使得人们必须意识到与重复剖宫产相关的潜在并发症。本文综述了剖宫产的流行病学特征以及与重复剖宫产相关的围手术期风险。这些风险包括粘连增加、感染和伤口并发症、出血、肠损伤和梗阻、子宫切除、手术时间、住院时间以及分娩延迟。