Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899.
Singapore Med J. 2012 Oct;53(10):655-8.
This study aimed to assess maternal and perinatal outcomes following second stage Caesarean sections.
A retrospective study was conducted in a Singapore-based tertiary referral centre from January 1, 2009 to December 31, 2009. The medical records of all the women who underwent emergency Caesarean sections in the second stage of labour were reviewed.
Out of 2,501 emergency Caesarean sections performed, 116 were Caesarean sections in the second stage of labour. Women with non-vertex, twins and preterm deliveries were excluded, and 110 (4.4%, 110/2,501) Caesarean sections were recruited. The majority of the Caesarean sections were determined and performed by registrars or consultants. With regard to maternal outcome, 2.7% (3/110) of patients had primary postpartum haemorrhage and 4.5% (5/110) of patients had vertical or lateral lower uterine segment tears. As for neonatal outcome, although the Apgar scores of newborns were low at birth for 8.2% (9/110) of patients, the Apgar score was > 4 at 5 minutes for all patients.
Overall, there was no statistically significant adverse maternal or perinatal outcome.
本研究旨在评估第二产程剖宫产的母婴围产结局。
这是一项 2009 年 1 月 1 日至 12 月 31 日在新加坡一家三级转诊中心进行的回顾性研究。回顾了所有在第二产程行急症剖宫产的妇女的病历。
在 2501 例急症剖宫产中，有 116 例为第二产程剖宫产。排除非头位、双胎和早产分娩的妇女，共招募 110 例（4.4%，110/2501）剖宫产。大多数剖宫产由住院医师或顾问决定和进行。在母亲结局方面，2.7%（3/110）的患者发生原发性产后出血，4.5%（5/110）的患者发生垂直或横向子宫下段撕裂。至于新生儿结局，尽管 8.2%（9/110）的患者新生儿出生时 Apgar 评分较低，但所有患者 5 分钟时 Apgar 评分均>4。
总体而言，母婴围产结局无统计学显著不良。
